Progressive Pediatric Therapy Services | |
1725 Hermitage Blvd Tallahassee FL 32308-7709 | |
(850) 325-6301 | |
Not Available |
Full Name | Progressive Pediatric Therapy Services |
---|---|
Speciality | Behavior Analyst |
Location | 1725 Hermitage Blvd, Tallahassee, Florida |
Authorized Official Name and Position | Kelly Quin Prejean (CLINIC DIRECTOR; SLP) |
Authorized Official Contact | 8503256301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Progressive Pediatric Therapy Services 1725 Hermitage Blvd Tallahassee FL 32308-7709 Ph: (850) 325-6301 | Progressive Pediatric Therapy Services 1725 Hermitage Blvd Tallahassee FL 32308-7709 Ph: (850) 325-6301 |
NPI Number | 1306449590 |
---|---|
Provider Enumeration Date | 11/19/2020 |
Last Update Date | 11/19/2020 |
Certification Date | 11/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306449590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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