# ADVANCED CHILDRENS THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED CHILDRENS THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356998637
- **Authorized official:** MARLYE GONZALEZ ALFONSO (ADMINISTRATOR)
- **Authorized official phone:** (561) 260-1316

## Contact information

- **Practice address:** 2119 10TH AVE N, LAKE WORTH BEACH, FL 33461-3345
- **Practice address phone:** (561) 629-6882
- **Practice address fax:** (561) 828-3102
- **Mailing address:** 2119 10TH AVE N, LAKE WORTH BEACH, FL 33461-3345
- **Mailing address phone:** (561) 629-6882
- **Mailing address fax:** (561) 828-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 02/26/2023