MEDICARE: WORLD CHILDREN'S THERAPY CENTER CORP

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1841700465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD CHILDREN'S THERAPY CENTER CORP

Provider Business Mailing Address
First Line	:	930 E 9TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4650
Country	:	US
Telephone Number	:	786-521-4794
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 E 9TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4650
Country	:	US
Telephone Number	:	786-521-4794
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUDITT MILIAN
Credential	:
Telephone Number	:	786-521-4794

Provider Enumeration Date	:	10/10/2017
Last Update Date	:	10/10/2017

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