Healthcare Provider Details

I. General information

NPI: 1013727320
Provider Name (Legal Business Name): DAVID AND GOLIATH THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2347 KAMIN DR
MELBOURNE FL
32940-6566
US

IV. Provider business mailing address

2347 KAMIN DR
MELBOURNE FL
32940-6566
US

V. Phone/Fax

Practice location:
  • Phone: 843-615-3924
  • Fax:
Mailing address:
  • Phone: 843-615-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: KENDRA NATASHA SMALLS
Title or Position: OWNER
Credential: BCBA
Phone: 843-615-3924