Magaly Beatriz Aldana

Individual provider Active NPI Developmental Therapist · Kissimmee, FL

NPI 1790253102 · NPPES record last updated Mar 21, 2024

Key facts

NPI
1790253102
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
4625 Big Island Dr
Kissimmee, FL 34746-3497
Phone
(407) 535-9973
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
Yes

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 Yes
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

4625 Big Island Dr
Kissimmee, FL 34746-3497

Mailing address

1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439
Phone (407) 530-5063

Other identifiers

IdentifierTypeStateIssuer
023136700MedicaidFL

Other providers in Kissimmee, FL

All providers in Kissimmee, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.