Healthcare Provider Details
I. General information
NPI: 1609513886
Provider Name (Legal Business Name): AMOR THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2022
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6900 S ORANGE BLOSSOM TRL STE 400
ORLANDO FL
32809-5734
US
IV. Provider business mailing address
6900 S ORANGE BLOSSOM TRL STE 400
ORLANDO FL
32809-5734
US
V. Phone/Fax
- Phone: 407-602-7442
- Fax:
- Phone: 407-602-7442
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DIANA
LORIE
Title or Position: PRESIDENT
Credential:
Phone: 786-316-0563