Individual provider · Type 1 NPI
Shtely Sabuna Gustave, ITDS
Developmental Therapist · Greenacres, FL
Practice location
101 1st Ln
Greenacres, FL 33463-4255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
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 1629962519
Shtely Sabuna Gustave, ITDS's National Provider Identifier is 1629962519, issued on Jun 5, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Greenacres, FL. The record was last updated on Jun 5, 2025.