MEDICARE: AJB SPEECH THERAPY SERVICES, 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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1427982347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJB SPEECH THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	4604 NW 58TH ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-2825
Country	:	US
Telephone Number	:	954-684-3339
Fax Number	:

Provider Business Practice Location Address
First Line	:	4604 NW 58TH ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-2825
Country	:	US
Telephone Number	:	954-684-3339
Fax Number	:

Authorized Official
Title or Position	:	SLP/CCC
Name	:	MS. APRIL JEANNE BULLEN
Credential	:	M.S.
Telephone Number	:	954-684-3339

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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