Healthcare Provider Details

I. General information

NPI: 1689530982
Provider Name (Legal Business Name): PEACE FOR KIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 N MILLS AVE
ORLANDO FL
32803-4638
US

IV. Provider business mailing address

930 FLORAL DR
ORLANDO FL
32803-3603
US

V. Phone/Fax

Practice location:
  • Phone: 407-342-6650
  • Fax:
Mailing address:
  • Phone: 407-342-6650
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BETHANY ANAN
Title or Position: OWNER & CLINICAL DIRECTOR
Credential: MA, BCBA
Phone: 407-342-6650