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

Mrs. Ivonne Carmen Randolph, MACCCSLP

Individual provider Developmental Therapist · NPI 1922148451

Mrs. Ivonne Carmen Randolph, MACCCSLP is a Developmental Therapist in Port Orange, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2007
Specialties on file
3

Practice location Address checks out

5791 Falling Tree Ln
Port Orange, FL 32127-7993
Phone: (407) 595-2710
Show map & directions

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

Additional practice locations (1)

  • 2219 S Woodland Blvd, Deland, FL 32720-8628 — (386) 736-9849

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA 1206 (FL)
Developmental Therapist Taxonomy 222Q00000X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1922148451
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESFebruary 16, 2025
Certification dateFebruary 16, 2025

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