Healthcare Provider Details

I. General information

NPI: 1639897655
Provider Name (Legal Business Name): LITTLE DREAMERS PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7451 RIVIERA BLVD STE 116
MIRAMAR FL
33023-6567
US

IV. Provider business mailing address

7451 RIVIERA BLVD STE 116
MIRAMAR FL
33023-6567
US

V. Phone/Fax

Practice location:
  • Phone: 786-412-2538
  • Fax: 754-888-9449
Mailing address:
  • Phone: 786-412-2538
  • Fax: 754-888-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. DEREK COLL
Title or Position: DIRECTOR/ADMIN
Credential:
Phone: 786-412-2538