Provider Demographics
NPI:1710657036
Name:CHILDREN ACHIEVING MILESTONES THERAPY SERVICES INC
Entity Type:Organization
Organization Name:CHILDREN ACHIEVING MILESTONES THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-869-3444
Mailing Address - Street 1:1051 STATE ROAD 544 E UNIT 4512
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33845-6153
Mailing Address - Country:US
Mailing Address - Phone:215-869-3444
Mailing Address - Fax:
Practice Address - Street 1:151 ANGELAS AVE
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844
Practice Address - Country:US
Practice Address - Phone:215-869-3444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services