Active NPI
Dynamic Supports and Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Orlando, FL
National Provider Identifier
1205406790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.