Organization Active NPI

Dynamic Supports and Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Orlando, FL
National Provider Identifier
1205406790
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DYNAMIC SUPPORTS AND SERVICES
Doing business as
Dynamic Supports and Services
Practice address
3700 34TH St Ste 100G
Orlando, FL 32805-6606
Phone
(407) 730-4242
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Teleshia Jones, ED.D.
Title
Owner
Phone
(321) 287-8570

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

3700 34TH St Ste 100G
Orlando, FL 32805-6606

Mailing address

3700 34TH St Ste 100G
Orlando, FL 32805-6606
Phone (407) 730-4242

Other names 1

  • Dynamic Supports and Services Doing business as

National Provider Directory

National Provider Directory

Locations

3700 34th St
Ste 100G
Orlando, FL 32805
Phone (407) 730-4242

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1205406790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 34TH ST STE 100G",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056606",
            "telephone_number": "407-730-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 34TH ST STE 100G",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056606",
            "telephone_number": "407-730-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SUPPORTS AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TELESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-287-8570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Supports and Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.