LAETITIA B FERNANDEZ (NPI# 1255648382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255648382 |
| Entity Type | Individual |
| Full Name | LAETITIA B FERNANDEZ |
| Credential | MS PSY |
| Practice Address |
1945 22nd Ave Vero Beach FL 32960-3083 |
| Practice Telephone | 7722575264 |
| Practice Fax Number | 7722575265 |
| Mailing Telephone | 7722575264 |
| Mailing Fax Number | 7722575265 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2011-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH9028 | FL | Behavioral Health & Social Service Providers |
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002649800 | 05 |
| Street Address |
1945 22ND AVE |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124428883 | Jeffrey Grochowsky | Case Manager/Care Coordinator | 1945 22nd Ave, Vero Beach, FL 32960-3083 | 2014-09-01 |
| 1598002743 | Ana Claribel Acosta | Counselor | 1945 22nd Ave, Vero Beach, FL 32960-3083 | 2013-01-08 |
| 1477828887 | Legacy Behavioral Health Center, Inc | Social Worker | 1945 22nd Ave, Vero Beach, FL 32960-3083 | 2012-03-19 |
| 1730486721 | Legacy Behavioral Health Center, Inc. | Counselor | 1945 22nd Ave, Vero Beach, FL 32960-3083 | 2011-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019792 | Jc Speech LLC | Developmental Therapist | 745 24th Sq, Vero Beach, FL 32962-1336 | 2017-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1316554116 | Carley Alexandra Scartz-nisbet | Developmental Therapist | 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 | 2020-09-25 |
| 1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1750991188 | Kimberley Nunez | Developmental Therapist | 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 | 2020-07-31 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1851900922 | Nathalia Brown | Developmental Therapist | 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 | 2020-07-24 |
| 1053929752 | Jill Schnortz | Developmental Therapist | 484 Nw 232nd Ter, Newberry, FL 32669-2282 | 2020-07-20 |
| 1447868310 | Carleen Korkin | Developmental Therapist | 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.