MEDICARE: THRIVE AND GROW THERAPY SOLUTIONS

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

General Provider Information

NPI Number	:	1306689344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE AND GROW THERAPY SOLUTIONS

Provider Business Mailing Address
First Line	:	2366 S BELVOIR BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-4614
Country	:	US
Telephone Number	:	206-331-8767
Fax Number	:

Provider Business Practice Location Address
First Line	:	2366 S BELVOIR BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-4614
Country	:	US
Telephone Number	:	206-331-8767
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. GERALD BRESLER
Credential	:
Telephone Number	:	206-331-8767

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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