MEDICARE: THE PIECES FIT INTERVENTIONS 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
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1487945028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PIECES FIT INTERVENTIONS LLC

Provider Business Mailing Address
First Line	:	13538 VILLAGE PARK DR
Second Line	:	SUITE 145
City	:	ORLANDO
State	:	FL
Zip	:	32837-7698
Country	:	US
Telephone Number	:	407-730-2948
Fax Number	:	407-250-4833

Provider Business Practice Location Address
First Line	:	13538 VILLAGE PARK DR
Second Line	:	SUITE 145
City	:	ORLANDO
State	:	FL
Zip	:	32837-7698
Country	:	US
Telephone Number	:	407-730-2948
Fax Number	:	407-250-4833

Authorized Official
Title or Position	:	OWNER / MGR
Name	:	CARLOS ANTHONY SANTIAGO
Credential	:
Telephone Number	:	407-730-2948

Provider Enumeration Date	:	05/01/2011
Last Update Date	:	02/22/2021

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Directions to “THE PIECES FIT INTERVENTIONS LLC ” Practice Location

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