Provider Demographics
NPI:1326746413
Name:BEHAVIOR THERAPY FOR KIDS
Entity Type:Organization
Organization Name:BEHAVIOR THERAPY FOR KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ PANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-991-3706
Mailing Address - Street 1:27541 SW 138TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7775
Mailing Address - Country:US
Mailing Address - Phone:786-991-3706
Mailing Address - Fax:
Practice Address - Street 1:27541 SW 138TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7775
Practice Address - Country:US
Practice Address - Phone:786-991-3706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty