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Organization
JUMPSTART DEVELOPMENTAL SERVICES LLC
Active
Organization
JUMPSTART DEVELOPMENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JUSTIN MONTOTO (OWNER/OPERATOR)
(786) 245-1405
Entity
Organization
Contact information
Practice address
5979 NW 151ST ST STE 102I, MIAMI LAKES, FL 33014-2434
(786) 431-5801
(786) 353-9177
Mailing address
5979 NW 151ST ST STE 102I, MIAMI LAKES, FL 33014-2434
(786) 431-5801
(786) 353-9177
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103180400
—
FL
Enumeration date
01/08/2021
Last updated
10/11/2024
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