Individual provider · Type 1 NPI

Jonathan Blake Lunsford

Developmental Therapist · Pompano Beach, FL

NPI number 1457649550 Active

Practice location

2708 NE 14th St, Suite 5
Pompano Beach, FL 33062-3565

Call (888) 880-9270 Map

Mailing address

9530 Rocky River Rd
Harrisburg, NC 28075-8609

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X25562702 (NC)

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…

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About NPI 1457649550

Jonathan Blake Lunsford's National Provider Identifier is 1457649550, issued on Jul 11, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach, FL. The record was last updated on Jul 11, 2011.