MEDICARE: S.L.B THERAPY, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	235Z00000X	Speech-Language Pathologist	FL
2	2355S0801X	Speech-Language Assistant	FL
3	225X00000X	Occupational Therapist	FL
4	224Z00000X	Occupational Therapy Assistant	FL
5	225100000X	Physical Therapist	FL
6	225200000X	Physical Therapy Assistant	FL
7	103K00000X	Behavior Analyst	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	:	1154577070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S.L.B THERAPY, INC.

Provider Business Mailing Address
First Line	:	13262 SW 119 TER.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4554
Country	:	US
Telephone Number	:	305-378-5775
Fax Number	:	305-378-5772

Provider Business Practice Location Address
First Line	:	10920 SW 184TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6608
Country	:	US
Telephone Number	:	305-378-5775
Fax Number	:	305-378-5772

Authorized Official
Title or Position	:	CLINICAL DIRECTOR / OWNER
Name	:	MRS. URANIA MARIA CALDERA
Credential	:	M.S. CCC-SLP, BCBA
Telephone Number	:	305-378-5775

Provider Enumeration Date	:	08/12/2008
Last Update Date	:	05/27/2016

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Directions to “S.L.B THERAPY, INC. ” Practice Location

Language	Start Address	Practice Location

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