Individual provider · Type 1 NPI
Raquelita Dejesus, CNA
Developmental Disabilities Clinic/Center · Lakeland, FL
Practice location
2226 Maple Hill Dr
Lakeland, FL 33811-1475
Mailing address
PO Box 1462
Lakeland, FL 33802-1462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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About NPI 1184264574
Raquelita Dejesus, CNA's National Provider Identifier is 1184264574, issued on Jan 14, 2020. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Lakeland, FL. The record was last updated on Dec 8, 2025.