Provider Demographics
NPI:1215630694
Name:THERAPY JUNCTION
Entity type:Organization
Organization Name:THERAPY JUNCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANITA
Authorized Official - Middle Name:TANETTE
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:850-258-2638
Mailing Address - Street 1:2924 KINGS RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2016
Mailing Address - Country:US
Mailing Address - Phone:850-258-2638
Mailing Address - Fax:
Practice Address - Street 1:2924 KINGS RD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2016
Practice Address - Country:US
Practice Address - Phone:850-258-2638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty