Healthcare Provider Details
I. General information
NPI: 1780504787
Provider Name (Legal Business Name): LEVEL UP THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1555 PALM BEACH LAKES BLVD STE 600
WEST PALM BEACH FL
33401-2333
US
IV. Provider business mailing address
1555 PALM BEACH LAKES BLVD STE 600
WEST PALM BEACH FL
33401-2333
US
V. Phone/Fax
- Phone: 954-224-2031
- Fax:
- Phone: 954-224-2031
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MIRIAM
ROSA
GARCIA
Title or Position: OWNER
Credential:
Phone: 954-224-2031