Provider Demographics
NPI:1255151247
Name:THE LEARNING LAB LLC
Entity type:Organization
Organization Name:THE LEARNING LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINICPAL
Authorized Official - Prefix:
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-972-8798
Mailing Address - Street 1:4300 S JOG RD STE 542254
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33467-9998
Mailing Address - Country:US
Mailing Address - Phone:561-972-8798
Mailing Address - Fax:
Practice Address - Street 1:5064 NORTHERN LIGHTS DR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-5936
Practice Address - Country:US
Practice Address - Phone:561-972-8798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency