Individual provider · Type 1 NPI

Evan Fazz

Developmental Therapist · Pompano Beach, FL

NPI number 1639411036 Active

Practice location

2708 NE 14th St Apt 5
Pompano Beach, FL 33062-3564

Call (888) 880-9270 Map

Mailing address

7830 E Topeka Pl
Yuma, AZ 85365-8842

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XD05454468 (AZ)

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 1639411036

Evan Fazz's National Provider Identifier is 1639411036, issued on Mar 23, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach, FL. The record was last updated on Mar 23, 2013.