Individual provider · Type 1 NPI

Jelisa Latrell Collins

Developmental Therapist · Pompano Beach, FL

NPI number 1972844629 Active

Practice location

4301 N Federal Hwy, Suite 2 South
Pompano Beach, FL 33064-6519

Call (888) 880-9270 Map

Fax (954) 342-0273

Mailing address

114 Ridgehill Dr
Lexington, SC 29073-7060

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 1972844629

Jelisa Latrell Collins's National Provider Identifier is 1972844629, issued on Mar 5, 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 5, 2013.