Healthcare Provider Details

I. General information

NPI: 1841780947
Provider Name (Legal Business Name): B B THERAPY SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 NW 154 ST #460
MIAMI LAKES FL
33016-5863
US

IV. Provider business mailing address

1845 SW 87 PLACE
MIAMI FL
33165-7844
US

V. Phone/Fax

Practice location:
  • Phone: 786-380-8595
  • Fax:
Mailing address:
  • Phone: 786-380-8595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHAGNY PONS GRANADO
Title or Position: OWNER
Credential: MS SLP
Phone: 786-380-8595