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Organization

CONNECTION - TRANSDISCIPLINARY THERAPEUTIC SUPPORT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDRE DE PAIVA COELHO SOPHIA (MANAGER / OWNER)
(954) 253-6455
Entity
Organization

Contact information

Practice address
1191 E NEWPORT CENTER DR STE 103, DEERFIELD BEACH, FL 33442-7736
(954) 644-0682
(754) 333-4768
Mailing address
1191 E NEWPORT CENTER DR STE 103, DEERFIELD BEACH, FL 33442-7736
(954) 644-0682
(754) 333-4768

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
224Z00000X
Occupational Therapy Assistant
225X00000X
Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
04/11/2025
Last updated
04/11/2025
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