Provider Demographics
NPI:1346602331
Name:FIRST WORDS PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:FIRST WORDS PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:ABEL
Authorized Official - Last Name:BEJARANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-313-4169
Mailing Address - Street 1:15932 75TH LN N
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3141
Mailing Address - Country:US
Mailing Address - Phone:561-313-4169
Mailing Address - Fax:561-584-5033
Practice Address - Street 1:15932 75TH LN N
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-3141
Practice Address - Country:US
Practice Address - Phone:561-313-4169
Practice Address - Fax:561-584-5033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty