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METAMORPHOSIS THERAPY LLC NPI 1477008407


NPI Information

NPI: 1477008407
Provider Name: METAMORPHOSIS THERAPY LLC
Classification: Behavior Technician - 106S00000X
Entity Type: Organization
Address:
1450 DANIELS RD
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 395-9976
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METAMORPHOSIS THERAPY LLC is a behavior technician in Winter Garden, FL. The provider is the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. METAMORPHOSIS THERAPY LLC NPI is 1477008407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1450 DANIELS RD
WINTER GARDEN, FL
ZIP 34787-376
Phone: (407) 395-9976

The provider's authorized official is Bridgett Elaine Dimant .
The authorized official title is Owner and has the following contact phone number (407) 285-7907.

The enumeration date for this NPI number is 8/19/2016 and was last updated on 8/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2106S00000XBehavior TechnicianYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1017434700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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