Healthcare Provider Details

I. General information

NPI: 1104275551
Provider Name (Legal Business Name): FAMILY INITIATIVE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 SW 4TH ST STE 6
CAPE CORAL FL
33991-1984
US

IV. Provider business mailing address

730 SW 4TH ST STE 6
CAPE CORAL FL
33991-1984
US

V. Phone/Fax

Practice location:
  • Phone: 239-910-0712
  • Fax: 855-237-3130
Mailing address:
  • Phone: 239-910-0712
  • Fax: 855-237-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-08-4224
License Number StateFL

VIII. Authorized Official

Name: DAVID BROWN
Title or Position: PRESIDENT
Credential: MSW
Phone: 239-691-4517