Organization
ACHIEVEMENT ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN GATES AIKEN (PRESIDENT / CEO)
(863) 683-6504
Entity
Organization
Contact information
Practice address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
(863) 688-9292
Mailing address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
(863) 688-9292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024660301
—
FL
Enumeration date
11/28/2006
Last updated
03/30/2023
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