MEDICARE: CONNECTIONS THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-14-17567	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104370964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTIONS THERAPY LLC

Provider Business Mailing Address
First Line	:	2701 NE 21ST ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3614
Country	:	US
Telephone Number	:	954-830-9508
Fax Number	:	561-423-0325

Provider Business Practice Location Address
First Line	:	2701 NE 21ST ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3614
Country	:	US
Telephone Number	:	954-830-9508
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	SHEERY WEIZMAN
Credential	:
Telephone Number	:	954-830-9508

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	11/25/2024

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Directions to “CONNECTIONS THERAPY LLC ” Practice Location

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