Provider Demographics
NPI:1720975816
Name:KIDS THERAPY TOWER
Entity type:Organization
Organization Name:KIDS THERAPY TOWER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEDA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:863-275-1102
Mailing Address - Street 1:476 CARDINAL CT
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4423
Mailing Address - Country:US
Mailing Address - Phone:407-785-8196
Mailing Address - Fax:
Practice Address - Street 1:1428 SUNRISE PLAZA DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6201
Practice Address - Country:US
Practice Address - Phone:863-275-1102
Practice Address - Fax:407-589-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty