Healthcare Provider Details

I. General information

NPI: 1245931948
Provider Name (Legal Business Name): ABILITY FOCUSED PROFESSIONAL SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 STANLEY LN
NEW CASTLE DE
19720-2740
US

IV. Provider business mailing address

124 STANLEY LN
NEW CASTLE DE
19720-2740
US

V. Phone/Fax

Practice location:
  • Phone: 302-543-5733
  • Fax:
Mailing address:
  • Phone: 302-543-5733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name: BRANDT EMORY
Title or Position: PRINCIPAL
Credential:
Phone: 302-543-5733