Organization · Type 2 NPI

Divine Early Intervention Services

Developmental Therapist · Maple Shade, NJ

NPI number 1679417216 Active

Practice location

298 Great Rd
Maple Shade, NJ 08052-3045

Fax (347) 570-6310

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…

About NPI 1679417216

Divine Early Intervention Services's National Provider Identifier is 1679417216, issued on Apr 15, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Maple Shade, NJ. The record was last updated on Apr 15, 2026.