Provider Demographics
NPI:1750725016
Name:PAIS, LAURA GABRIELA
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:GABRIELA
Last Name:PAIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4630 17TH STREET
Mailing Address - Street 2:GULF CENTRAL EARLY STEPS
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235
Mailing Address - Country:US
Mailing Address - Phone:941-487-5429
Mailing Address - Fax:
Practice Address - Street 1:4630 17TH STREET
Practice Address - Street 2:GULF CENTRAL EARLY STEPS
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235
Practice Address - Country:US
Practice Address - Phone:941-487-5429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker