Provider Demographics
NPI:1053735316
Name:PLAY ON WORDS THERAPY CONNECTIONS
Entity type:Organization
Organization Name:PLAY ON WORDS THERAPY CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CORTOPASSI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA CCC-SLP COBA
Authorized Official - Phone:941-587-4919
Mailing Address - Street 1:1811 ENGLEWOOD RD STE 171
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-1822
Mailing Address - Country:US
Mailing Address - Phone:813-720-7529
Mailing Address - Fax:844-656-3516
Practice Address - Street 1:2048 LARSON ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-6491
Practice Address - Country:US
Practice Address - Phone:941-587-4919
Practice Address - Fax:844-656-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11314719103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty