Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Nicole Arlette Beale -Vandyke, CSLP-A, ITDS

Individual provider Developmental Therapist · NPI 1790918647

MS. Nicole Arlette Beale -Vandyke, CSLP-A, ITDS is a Developmental Therapist in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

12485 SW 137th Ave Ste 301
Miami, FL 33186-4219
Phone: (786) 732-4922
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Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence S11425 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1790918647
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSLP-A , ITDS
Sole proprietorYes
NPI enumeratedAugust 26, 2009
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

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