Healthcare Provider Details

I. General information

NPI: 1508780933
Provider Name (Legal Business Name): BESIDE YOU PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 JAMES ST APT 2
BLOOMFIELD NJ
07003-3615
US

IV. Provider business mailing address

7795 MIRAMAR PKWY
MIRAMAR FL
33023-5848
US

V. Phone/Fax

Practice location:
  • Phone: 786-394-3385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-394-3385