MEDICARE: WE ARE A VILLAGE 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	:	1922967421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE ARE A VILLAGE LLC

Provider Business Mailing Address
First Line	:	1245 SUSSEX ST
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8606
Country	:	US
Telephone Number	:	561-887-6982
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 SUSSEX ST
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8606
Country	:	US
Telephone Number	:	561-887-6982
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHANTAL DONOVAN
Credential	:
Telephone Number	:	561-887-6982

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/23/2026

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Directions to “WE ARE A VILLAGE LLC ” Practice Location

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