Provider Demographics
NPI:1396366217
Name:GIFTED KIDS THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:GIFTED KIDS THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APPLIED BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YIGSY
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LEMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:786-281-2421
Mailing Address - Street 1:3542 W 93RD PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2075
Mailing Address - Country:US
Mailing Address - Phone:786-281-2421
Mailing Address - Fax:
Practice Address - Street 1:3542 W 93RD PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-2075
Practice Address - Country:US
Practice Address - Phone:786-281-2421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty