Provider Demographics
NPI:1487945028
Name:THE PIECES FIT INTERVENTIONS LLC
Entity type:Organization
Organization Name:THE PIECES FIT INTERVENTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / MGR
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-730-2948
Mailing Address - Street 1:13538 VILLAGE PARK DR
Mailing Address - Street 2:SUITE 145
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7698
Mailing Address - Country:US
Mailing Address - Phone:407-730-2948
Mailing Address - Fax:407-250-4833
Practice Address - Street 1:13538 VILLAGE PARK DR
Practice Address - Street 2:SUITE 145
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7698
Practice Address - Country:US
Practice Address - Phone:407-730-2948
Practice Address - Fax:407-250-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-01
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty