MEDICARE: WITHOUT LIMITS THERAPY SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	103TB0200X	Cognitive & Behavioral Psychologist
3	106E00000X	Assistant Behavior Analyst
4	106S00000X	Behavior Technician
5	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1649088097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WITHOUT LIMITS THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	2500 NW 79TH AVE STE 234
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33122-1086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10163 FORTUNE PKWY # G35
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3519
Country	:	US
Telephone Number	:	305-603-8747
Fax Number	:	305-603-8747

Authorized Official
Title or Position	:	P
Name	:	JOHN CHAQUINGA
Credential	:	LMHC
Telephone Number	:	305-603-8747

Provider Enumeration Date	:	12/18/2024
Last Update Date	:	12/18/2024

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