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Organization
STG KIDDOS EARLY STIMULATION LLC
Active
Organization
STG KIDDOS EARLY STIMULATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMIRA RIVERO BASNUEVA RIVERO (FOUNDER & OWNER)
(502) 572-9938
Entity
Organization
Contact information
Practice address
12000 N DALE MABRY HWY FL USA, TAMPA, FL 33618-3311
(502) 572-9938
(502) 572-9938
Mailing address
12000 N DALE MABRY HWY FL USA, TAMPA, FL 33618-3311
(502) 572-9938
(502) 572-9938
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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