# TELEBITES VIRTUAL PEDIATRIC FEEDING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225612948
- **Authorized official:** BRIANNE ISREAL MS, CCC-SLP (CLINICAL DIRECTOR)
- **Authorized official phone:** (561) 542-3723

## Contact information

- **Practice address:** 1314 ROYALE DR, COLORADO SPRINGS, CO 80910-2021
- **Practice address phone:** (561) 542-3723
- **Mailing address:** 1314 ROYALE DR, COLORADO SPRINGS, CO 80910-2021
- **Mailing address phone:** (561) 542-3723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2021
- **Last updated:** 05/09/2021