Provider Demographics
NPI:1083313993
Name:KALEIDOSCOPE LEARNING & THERAPY INC
Entity Type:Organization
Organization Name:KALEIDOSCOPE LEARNING & THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:BECERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-837-4090
Mailing Address - Street 1:34 BANYAN TRAK
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2070
Mailing Address - Country:US
Mailing Address - Phone:786-837-4090
Mailing Address - Fax:
Practice Address - Street 1:34 BANYAN TRAK
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-2070
Practice Address - Country:US
Practice Address - Phone:786-837-4090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency