Provider Demographics
NPI:1326672932
Name:MAKING THE DIFFERENCE, LLC
Entity Type:Organization
Organization Name:MAKING THE DIFFERENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MILISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:YEAGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:321-348-8359
Mailing Address - Street 1:8237 VICELA DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-1462
Mailing Address - Country:US
Mailing Address - Phone:419-342-8811
Mailing Address - Fax:941-342-1811
Practice Address - Street 1:8237 VICELA DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-1462
Practice Address - Country:US
Practice Address - Phone:941-342-8811
Practice Address - Fax:941-342-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty