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

Mame-Diarra Bousso Fall

Individual provider Developmental Therapist · NPI 1790534436

Mame-Diarra Bousso Fall is a Developmental Therapist in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

2828 Bogota Ave
Hollywood, FL 33026-4512
Phone: (786) 553-8012
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (FL)

Record details

NPI number1790534436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

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