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General NPI Number Information
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NPI Number | 1720907363
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Entity Type | Organization
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Legal Business Name | K B FAMILY CONNECTIONS
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 3267 SW CONSTELLATION RD,
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City | PORT ST LUCIE
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State | FL
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Zip | 34953
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Country | US
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Telephone | 772-207-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 1193 SE PORT ST LUCIE BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5332
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Country | US
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Telephone | 772-207-1091
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIAN MONTGOMERY
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Credential | ITDS
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Telephone | 772-207-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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