Active NPI
Child Development Specialists, LLC
- Early Intervention Provider Agency
- Boca Raton, FL
National Provider Identifier
1114501822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- CHILD DEVELOPMENT SPECIALISTS, LLC
- Practice address
- 22309 Collington Dr
Boca Raton, FL 33428-4743 - Phone
- (954) 260-1699
- NPI assigned
- May 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Livia Costa de Mattos De Paula
- Title
- MGR/Itds
- Phone
- (954) 260-1699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
22309 Collington Dr
Boca Raton, FL 33428-4743
Mailing address
22309 Collington Dr
Boca Raton, FL 33428-4743
Phone (954) 260-1699
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Boca Raton, FL
- NPI 1386790186
Developmental Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620777600000",
"number": "1114501822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22309 COLLINGTON DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284743",
"telephone_number": "954-260-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22309 COLLINGTON DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284743",
"telephone_number": "954-260-1699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD DEVELOPMENT SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-09",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A",
"authorized_official_last_name": "DE PAULA",
"authorized_official_first_name": "LIVIA",
"authorized_official_middle_name": "COSTA DE MATTOS",
"authorized_official_title_or_position": "MGR/ITDS",
"authorized_official_telephone_number": "954-260-1699"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Rayssa Chiaparro Pereira
- Tiffany Chichester
- Gilbert J Chidiac, MD
- Basil S.H. Chie-for, M.D.
- Christopher Chie-for
- Justin T Childers
- Children'S Dental Place of Boca Raton,Inc
- Children'S Dental Place of East Boca,Inc
- Children'S Hematology & Oncology Associates
- Children'S Pediatric Dentistry of Boca Raton, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.