Provider Demographics
NPI:1245106541
Name:TWO STEPS FORWARD THERAPY CORP
Entity type:Organization
Organization Name:TWO STEPS FORWARD THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-927-1143
Mailing Address - Street 1:13255 SW 137TH AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5328
Mailing Address - Country:US
Mailing Address - Phone:305-964-5685
Mailing Address - Fax:386-433-2003
Practice Address - Street 1:13255 SW 137TH AVE STE 212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5328
Practice Address - Country:US
Practice Address - Phone:305-964-5685
Practice Address - Fax:386-433-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty