Provider Demographics
NPI:1417620519
Name:HAPPY KIDDOS BEHAVIORAL SERVICES CORP.
Entity Type:Organization
Organization Name:HAPPY KIDDOS BEHAVIORAL SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-608-1315
Mailing Address - Street 1:13311 GRANGER AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-3857
Mailing Address - Country:US
Mailing Address - Phone:954-608-1315
Mailing Address - Fax:
Practice Address - Street 1:1319 E OSCEOLA PKWY STE D
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1606
Practice Address - Country:US
Practice Address - Phone:689-837-2423
Practice Address - Fax:407-264-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty