MEDICARE: LOOK UP THERAPY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225XP0200X	Pediatric Occupational Therapist
2	251S00000X	Community/Behavioral Health Agency
3	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831718071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOOK UP THERAPY LLC

Provider Business Mailing Address
First Line	:	5840 CORPORATE WAY STE 102
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2040
Country	:	US
Telephone Number	:	561-203-0714
Fax Number	:

Provider Business Practice Location Address
First Line	:	5840 CORPORATE WAY STE 102
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2040
Country	:	US
Telephone Number	:	561-203-0714
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	CHRISTIAN EMMANUEL SANON II
Credential	:	MS
Telephone Number	:	954-830-2581

Provider Enumeration Date	:	04/08/2020
Last Update Date	:	01/10/2025

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Directions to “LOOK UP THERAPY LLC ” Practice Location

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