Basic Information
Provider Information
NPI: 1033662671
EntityType: 2
ReplacementNPI:  
OrganizationName: THERAPEUTIC PARTNERSHIP INC
LastName:  
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Credential:  
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Mailing Information
Address1: 2468 SW 137TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331756330
CountryCode: US
TelephoneNumber: 7863434096
FaxNumber:  
Practice Location
Address1: 2468 SW 137TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331756330
CountryCode: US
TelephoneNumber: 7868326630
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/01/2016
LastUpdateDate: 09/16/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: FERRER
AuthorizedOfficialFirstName: BARBARA
AuthorizedOfficialMiddleName: KATRINA
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7868326630
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: LMHC BCBA
NPICertificationDate: 09/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251C00000X  Y AgenciesDay Training, Developmentally Disabled Services 

No ID Information.


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