Healthcare Provider Details

I. General information

NPI: 1891901658
Provider Name (Legal Business Name): INTERVENTIONS UNLIMITED, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 EXECUTIVE DR
OVIEDO FL
32765-7699
US

IV. Provider business mailing address

848 EXECUTIVE DR
OVIEDO FL
32765-7699
US

V. Phone/Fax

Practice location:
  • Phone: 407-678-8889
  • Fax: 407-678-8885
Mailing address:
  • Phone: 407-678-8889
  • Fax: 407-678-8885

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
# 4
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JING ZHOU
Title or Position: PRESIDENT
Credential: M.S.
Phone: 407-678-8889