Healthcare Provider Details

I. General information

NPI: 1831718071
Provider Name (Legal Business Name): LOOK UP THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 CORPORATE WAY STE 102
WEST PALM BEACH FL
33407-2040
US

IV. Provider business mailing address

5840 CORPORATE WAY STE 102
WEST PALM BEACH FL
33407-2040
US

V. Phone/Fax

Practice location:
  • Phone: 561-203-0714
  • Fax:
Mailing address:
  • Phone: 561-203-0714
  • 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 Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN EMMANUEL SANON II
Title or Position: BCBA
Credential: MS
Phone: 954-830-2581