MEDICARE: NEW OPPORTUNITIES THERAPY GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1073229050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW OPPORTUNITIES THERAPY GROUP LLC

Provider Business Mailing Address
First Line	:	16154 SW 148TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-6417
Country	:	US
Telephone Number	:	305-216-5014
Fax Number	:

Provider Business Practice Location Address
First Line	:	16154 SW 148TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-6417
Country	:	US
Telephone Number	:	305-216-5014
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GILDA BERMUDEZ
Credential	:
Telephone Number	:	305-216-5014

Provider Enumeration Date	:	01/24/2023
Last Update Date	:	01/24/2023

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