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Contact Information

STG KIDDOS EARLY STIMULATION LLC
12000 N DALE MABRY HWY FL USA
TAMPA, FL33618-3311
 Phone: 502-572-9938
 Fax: 502-572-9938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Early Intervention Provider Agency

252Y00000X
 

Environmental Modification

224ZE0001X
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for STG KIDDOS EARLY STIMULATION LLC

NPI # 1821926387
LBN Legal business name STG KIDDOS EARLY STIMULATION LLC
Authorized official YAMIRA RIVERO BASNUEVA - (FOUNDER & OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/13/2026
Last updated 05/13/2026 - About 3 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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