Provider Demographics
NPI:1154053031
Name:THE PIECES FIT INTERVENTIONS LLC
Entity Type:Organization
Organization Name:THE PIECES FIT INTERVENTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-730-2948
Mailing Address - Street 1:13538 VILLAGE PARK DR STE 145
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-3600
Mailing Address - Country:US
Mailing Address - Phone:407-730-2948
Mailing Address - Fax:407-250-4833
Practice Address - Street 1:13355 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3970
Practice Address - Country:US
Practice Address - Phone:407-730-2948
Practice Address - Fax:407-250-4833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE PIECES FIT INTERVENTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty