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NPI Code Detail

MEDICARE: EVERCHANGING THERAPY INC

MEDICARE: EVERCHANGING THERAPY 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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-25-81476OTHERBACB

General Provider Information

NPI Number : 1316835358
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVERCHANGING THERAPY INC
Provider Business Mailing Address
First Line : 2100 SANS SOUCI BLVD APT 1207
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33181-3008
Country : US
Telephone Number : 305-607-1278
Fax Number :
Provider Business Practice Location Address
First Line : 645 W HALLANDALE BEACH BLVD STE 105
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-5345
Country : US
Telephone Number : 786-756-6063
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAMANTHA TERAN
Credential : BCBA
Telephone Number : 305-607-1278
Provider Enumeration Date : 06/26/2025
Last Update Date : 02/12/2026

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Directions to “EVERCHANGING THERAPY INC ” Practice Location

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