Individual provider · Type 1 NPI
Kenyetta N. Broughton-Floyd
Developmental Therapist · Park Forest, IL
Practice location
201 Lester Rd
Park Forest, IL 60466-2013
Mailing address
PO Box 992
Park Forest, IL 60466-0992
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | None listed |
| Developmental Therapist Primary | 222Q00000X | KB52980401P (IL) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
2 other providers at this address
Other developmental therapist providers in Park Forest
- April Washington, M.ED.Developmental Therapist Park Forest, IL NPI 1063891984
- Dominique WatsonDevelopmental Therapist Park Forest, IL NPI 1154837565
- Denise Michelle Mangrum, DTDevelopmental Therapist Park Forest, IL NPI 1164142212
- Chiquita Nicole Thompson, D.T.Developmental Therapist Park Forest, IL NPI 1376803056
- Michelle A. SudberryDevelopmental Therapist Park Forest, IL NPI 1386086544
- Margaret Cecilia Adebayo, DTDevelopmental Therapist Park Forest, IL NPI 1487886479
- Shukria Judon, DTDevelopmental Therapist Park Forest, IL NPI 1508388877
- Barbara Spears, D.T.Developmental Therapist Park Forest, IL NPI 1679695654
About NPI 1104030139
Kenyetta N. Broughton-Floyd's National Provider Identifier is 1104030139, issued on May 9, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Park Forest, IL. The record was last updated on Sep 11, 2025.