Healthcare Provider Details

I. General information

NPI: 1528302940
Provider Name (Legal Business Name): CONNECTING THE PUZZLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 11/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10942 NW 70TH CT
PARKLAND FL
33076-3813
US

IV. Provider business mailing address

10942 NW 70TH CT
PARKLAND FL
33076-3813
US

V. Phone/Fax

Practice location:
  • Phone: 954-740-2470
  • Fax:
Mailing address:
  • Phone: 954-740-2470
  • 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 Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICTORIA SOBRINO-SANCHEZ
Title or Position: PRESIDENT
Credential: MS BCBA
Phone: 954-740-2470