MEDICARE: BILINGUAL THERAPY SOLUTION FOR KIDS,INC

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	252Y00000X	Early Intervention Provider Agency	SI 1275	GA

General Provider Information

NPI Number	:	1376842781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILINGUAL THERAPY SOLUTION FOR KIDS,INC

Provider Business Mailing Address
First Line	:	1154 IMPERIAL LAKE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1078
Country	:	US
Telephone Number	:	561-283-9268
Fax Number	:	561-429-2411

Provider Business Practice Location Address
First Line	:	1154 IMPERIAL LAKE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1078
Country	:	US
Telephone Number	:	561-283-9268
Fax Number	:	561-429-2411

Authorized Official
Title or Position	:	SLP-A
Name	:	MRS. MARIA M BRAVO-PEREZ
Credential	:	BS
Telephone Number	:	561-283-9268

Provider Enumeration Date	:	03/24/2011
Last Update Date	:	03/24/2011

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