Organization
AMP PEDIATRIC THERAPY LLC
Active
Parent organization
AMP PEDIATRIC THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMP PEDIATRIC THERAPY LLC
Authorized official
ALEXANDRA MARIE PEREZ (OWNER/PT)
(407) 970-0824
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0824
Mailing address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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