Organization
ACHIEVE PEDIATRIC THERAPY, INC
Active
Parent organization
ACHIEVE PEDIATRIC THERAPY, INC
Other names
Achieve Pediatric Therapy-ABA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACHIEVE PEDIATRIC THERAPY, INC
Authorized official
HEATHER B GRAY O.T. (OWNER/OCCUPATIONAL THERAPIST)
(407) 277-5400
Entity
Organization
Contact information
Practice address
11602 LAKE UNDERHILL ROAD,, SUITE 129, ORLANDO, FL 32825
(407) 277-5400
(321) 281-4942
Mailing address
11602 LAKE UNDERHILL ROAD,, SUITE 129, ORLANDO, FL 32825
(407) 277-5400
(321) 281-4942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024402800
—
FL
Enumeration date
11/23/2021
Last updated
11/23/2021
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