Provider Demographics
NPI:1275293995
Name:ALL MY SUPERPOWERS
Entity Type:Organization
Organization Name:ALL MY SUPERPOWERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUXHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:561-325-8645
Mailing Address - Street 1:9470 SW 61ST WAY APT D
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6186
Mailing Address - Country:US
Mailing Address - Phone:513-519-2219
Mailing Address - Fax:
Practice Address - Street 1:9470 SW 61ST WAY APT D
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6186
Practice Address - Country:US
Practice Address - Phone:513-519-2219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health