Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIS M RIVERA OT (OWNER)
(407) 910-2941
Entity
Organization
Contact information
Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
(888) 447-7678
Mailing address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
(888) 447-7678
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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