MEDICARE: WPB THERAPY CENTER INC

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	:	1164131157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WPB THERAPY CENTER INC

Provider Business Mailing Address
First Line	:	1534 FOREST LAKES CIR APT A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5731
Country	:	US
Telephone Number	:	561-215-2018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 FOREST LAKES CIR APT A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5731
Country	:	US
Telephone Number	:	561-215-2018
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARIEL A ZAYAS SANCHEZ
Credential	:
Telephone Number	:	561-215-2018

Provider Enumeration Date	:	11/17/2022
Last Update Date	:	11/17/2022

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