Provider Demographics
NPI:1891538773
Name:KID CENTERED THERAPY LLC
Entity type:Organization
Organization Name:KID CENTERED THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIRIPORN
Authorized Official - Middle Name:
Authorized Official - Last Name:CERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-209-1274
Mailing Address - Street 1:7971 RIVIERA BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6449
Mailing Address - Country:US
Mailing Address - Phone:954-816-9713
Mailing Address - Fax:
Practice Address - Street 1:7971 RIVIERA BLVD STE 402
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-6449
Practice Address - Country:US
Practice Address - Phone:954-816-9713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KID CENTERED THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-17
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty