Provider Demographics
NPI:1568019545
Name:UNIQUE LEARNING CENTER, INC
Entity Type:Organization
Organization Name:UNIQUE LEARNING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:L
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-336-8616
Mailing Address - Street 1:105 SAINT ANDREWS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-7625
Mailing Address - Country:US
Mailing Address - Phone:305-336-8616
Mailing Address - Fax:305-222-8454
Practice Address - Street 1:105 SAINT ANDREWS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-7625
Practice Address - Country:US
Practice Address - Phone:305-336-8616
Practice Address - Fax:305-222-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty