Provider Demographics
NPI:1528608916
Name:ALL ABOARD THERAPY OF THE TREASURE COAST, INC
Entity type:Organization
Organization Name:ALL ABOARD THERAPY OF THE TREASURE COAST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:772-567-0061
Mailing Address - Street 1:1255 37TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6550
Mailing Address - Country:US
Mailing Address - Phone:772-567-0061
Mailing Address - Fax:772-567-0062
Practice Address - Street 1:1255 37TH ST STE C
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6550
Practice Address - Country:US
Practice Address - Phone:772-567-0061
Practice Address - Fax:772-567-0062
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL ABOARD THERAPY OF THE TREASURE COAST, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty