Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idalie Marcellus, CERTIFICATE

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1659985703

Idalie Marcellus, CERTIFICATE is a Developmentally Disabled Services Day Training Agency in Tamarac, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2904 NW 48th St
Tamarac, FL 33309-3510
Phone: (786) 665-0518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence M624-400-86-507-0 (FL)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X · Licence M624-400-86-507-0 (FL)

Record details

NPI number1659985703
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFICATE
Sole proprietorYes
NPI enumeratedSeptember 5, 2020
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address330 Ne 116th St, Miami, FL 33161-6622

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