Organization
SMART KIDS THERAPY LLC
Active
Organization
SMART KIDS THERAPY LLC
Active
Other names
SMART KIDS THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN AVILES MERCED BUSINESS (PRESIDENT)
(787) 596-9616
Entity
Organization
Contact information
Practice address
115 AVE BARBOSA, CATANO, PR 00962-4780
(787) 596-9616
Mailing address
115 AVE BARBOSA, CATANO, PR 00962-4780
(787) 596-9616
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/15/2022
Last updated
10/14/2025
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