# INDIVIDUAL EDUCATION PLAN ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IEP Academy of Poinciana North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831718980
- **Authorized official:** MRS. SUSY ROSANNA BANKS (DIRECTOR OF STUDENT SERVICES)
- **Authorized official phone:** (407) 485-1103

## Contact information

- **Practice address:** 1515 MICHIGAN AVE, KISSIMMEE, FL 34744-3567
- **Practice address phone:** (407) 485-1103
- **Mailing address:** 1515 MICHIGAN AVE, KISSIMMEE, FL 34744-3567
- **Mailing address phone:** (407) 485-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WS0200X | School Registered Nurse | — | NULL | Yes |
| 163WS0200X | School Registered Nurse | — | — | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 04/09/2020
- **Last updated:** 10/13/2021