Provider Demographics
NPI:1164001723
Name:ASCEND DEVELOPMENT CARE, LLC
Entity Type:Organization
Organization Name:ASCEND DEVELOPMENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-461-7513
Mailing Address - Street 1:2001 PALM BEACH LAKES BLVD STE 502C
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6518
Mailing Address - Country:US
Mailing Address - Phone:786-461-7513
Mailing Address - Fax:561-228-0782
Practice Address - Street 1:2001 PALM BEACH LAKES BLVD STE 502C
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6518
Practice Address - Country:US
Practice Address - Phone:786-461-7513
Practice Address - Fax:561-228-0782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty