Individual provider · Type 1 NPI
Monica Marlene Vides
Developmental Therapist · St. Cloud, FL
Practice location
2904 Ponce Crest Dr
St. Cloud, FL 34772-8955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | None listed |
| 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 1821761784
Monica Marlene Vides's National Provider Identifier is 1821761784, issued on Jul 27, 2021. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Cloud, FL. The record was last updated on Sep 7, 2022.