Provider Demographics
NPI:1154704583
Name:PEERPALS
Entity type:Organization
Organization Name:PEERPALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:APAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-486-4750
Mailing Address - Street 1:3180 SW BOATRAMP AVE
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-5517
Mailing Address - Country:US
Mailing Address - Phone:772-486-4750
Mailing Address - Fax:772-221-9567
Practice Address - Street 1:3180 SW BOATRAMP AVE
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-5517
Practice Address - Country:US
Practice Address - Phone:772-486-4750
Practice Address - Fax:772-221-9567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-03-1055103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty