Provider Demographics
NPI:1619670395
Name:MY RIGHT STEPS THERAPY LLC
Entity Type:Organization
Organization Name:MY RIGHT STEPS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION
Authorized Official - Prefix:
Authorized Official - First Name:GLADIS
Authorized Official - Middle Name:JANETT
Authorized Official - Last Name:UCEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-574-5675
Mailing Address - Street 1:9803 KAMENA CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-3991
Mailing Address - Country:US
Mailing Address - Phone:561-574-5675
Mailing Address - Fax:
Practice Address - Street 1:9803 KAMENA CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-3991
Practice Address - Country:US
Practice Address - Phone:561-574-5675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1215416854Medicaid