Provider Demographics
NPI:1447929096
Name:FLORIDA EARLY CHILDHOOD DEVELOPMENT ALLIANCE
Entity type:Organization
Organization Name:FLORIDA EARLY CHILDHOOD DEVELOPMENT ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NEREYDA AQUINO
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-202-9642
Mailing Address - Street 1:1930 S DIXIE HWY UNIT R6
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7728
Mailing Address - Country:US
Mailing Address - Phone:917-202-9642
Mailing Address - Fax:
Practice Address - Street 1:1930 S DIXIE HWY UNIT R6
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-7728
Practice Address - Country:US
Practice Address - Phone:917-202-9642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty