Provider Demographics
NPI:1447944095
Name:NEUROPATHS THERAPY
Entity type:Organization
Organization Name:NEUROPATHS THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAXIM
Authorized Official - Middle Name:UYBADIN
Authorized Official - Last Name:INCORPORATED
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:954-729-0074
Mailing Address - Street 1:340 SW 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2374
Mailing Address - Country:US
Mailing Address - Phone:954-729-0074
Mailing Address - Fax:
Practice Address - Street 1:340 SW 35TH AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2374
Practice Address - Country:US
Practice Address - Phone:954-729-0074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty