Individual provider · Type 1 NPI

Shtely Sabuna Gustave, ITDS

Developmental Therapist · Greenacres, FL

NPI number 1629962519 Active

Practice location

101 1st Ln
Greenacres, FL 33463-4255

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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.