Michele Mahaney

Individual provider Active NPI Developmental Therapist · Pompano, FL

NPI 1730429135 · NPPES record last updated Feb 21, 2013

Key facts

NPI
1730429135
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
License
222Q00000X
Practice address
4301 N Federal Hwy, Suite 2 South
Butterfly Effects LLC
Pompano, FL 33064
Phone
(888) 880-9270
Fax
(954) 342-0273
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 222Q00000X Yes

Addresses

Primary practice location

4301 N Federal Hwy, Suite 2 South
Butterfly Effects LLC
Pompano, FL 33064

Mailing address

23 Savannah Oak Dr
Bluffton, SC 29910-4446
Phone (757) 921-0048

Other providers in Pompano, FL

All providers in Pompano, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.