Provider Demographics
NPI:1851645212
Name:PRECISE XCELERATION
Entity Type:Organization
Organization Name:PRECISE XCELERATION
Other - Org Name:PRECISION TEACHING LEARNING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MILYKO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:813-778-5201
Mailing Address - Street 1:26837 TANIC DR
Mailing Address - Street 2:STE 103
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4613
Mailing Address - Country:US
Mailing Address - Phone:813-778-5201
Mailing Address - Fax:
Practice Address - Street 1:26837 TANIC DR
Practice Address - Street 2:STE 103
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4613
Practice Address - Country:US
Practice Address - Phone:813-778-5201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-09-5739251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health