Provider Demographics
NPI:1346924388
Name:HABIT HEROES BEHAVIORAL THERAPY LLC
Entity Type:Organization
Organization Name:HABIT HEROES BEHAVIORAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL SOL PILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-647-5753
Mailing Address - Street 1:1073 PAVIA DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-8410
Mailing Address - Country:US
Mailing Address - Phone:786-647-5753
Mailing Address - Fax:
Practice Address - Street 1:1073 PAVIA DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-8410
Practice Address - Country:US
Practice Address - Phone:786-647-5753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty