Provider Demographics
NPI:1689085300
Name:INNOVATIVE THERAPY SERVICES
Entity type:Organization
Organization Name:INNOVATIVE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-417-3792
Mailing Address - Street 1:1 FINANCIAL PLZ FL 10
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33394-0002
Mailing Address - Country:US
Mailing Address - Phone:754-234-6577
Mailing Address - Fax:954-320-6289
Practice Address - Street 1:1 FINANCIAL PLZ FL 10
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33394-0002
Practice Address - Country:US
Practice Address - Phone:754-234-6577
Practice Address - Fax:954-320-6289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLSA 9460235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL011815900Medicaid