Provider Demographics
NPI:1376328476
Name:FUN 4 KIDS THERAPY INC
Entity Type:Organization
Organization Name:FUN 4 KIDS THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIMAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ CHAVIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-879-1389
Mailing Address - Street 1:92300 OVERSEAS HWY STE 204
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:92300 OVERSEAS HWY STE 204
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2726
Practice Address - Country:US
Practice Address - Phone:305-879-1389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty