=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073467965
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A1DERFUL THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2026
-----------------------------------------------------
Last Update Date | 02/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1969 SW 15TH ST APT 99
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33442-6161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-871-0808
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1969 SW 15TH ST APT 99
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33442-6161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-871-0808
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ITDS - OWNER
-----------------------------------------------------
Name | ANDREA AUN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-871-0808
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------