Organization
THERAPEUTIC FOUNDATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN LOUISE NAIMOLI MA, BCBA (CEO)
(386) 846-3351
Entity
Organization
Contact information
Practice address
1181 DAL MASO DR, DAYTONA BEACH, FL 32117-4109
(386) 846-3351
(386) 226-2076
Mailing address
1181 DAL MASO DR, DAYTONA BEACH, FL 32117-4109
(386) 846-3351
(386) 226-2076
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
686174196
FL
251S00000X
Community/Behavioral Health Agency
686174196
FL
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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