Provider Demographics
NPI: | 1487467387 |
---|---|
Name: | LEARNING YOUR FUNCTION INC. |
Entity type: | Organization |
Organization Name: | LEARNING YOUR FUNCTION INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | INTER-CAMPUS COORDINATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NATALIE |
Authorized Official - Middle Name: | ANN |
Authorized Official - Last Name: | FONTANES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 813-943-4136 |
Mailing Address - Street 1: | 2352 CAMP INDIANHEAD RD |
Mailing Address - Street 2: | |
Mailing Address - City: | LAND O LAKES |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34639-5287 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 813-469-2455 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2017 RIEGLER RD |
Practice Address - Street 2: | |
Practice Address - City: | LAND O LAKES |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34639-5328 |
Practice Address - Country: | US |
Practice Address - Phone: | 813-469-2455 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-01-27 |
Last Update Date: | 2025-01-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 00467160 | Medicaid |