Provider Demographics
NPI:1497446603
Name:INN HEALTH CENTER USA AUTISM THERAPY ABA
Entity Type:Organization
Organization Name:INN HEALTH CENTER USA AUTISM THERAPY ABA
Other - Org Name:INN HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-806-4850
Mailing Address - Street 1:31 KESWICK B
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2282
Mailing Address - Country:US
Mailing Address - Phone:561-806-4850
Mailing Address - Fax:
Practice Address - Street 1:31 KESWICK B
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2282
Practice Address - Country:US
Practice Address - Phone:561-806-4850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty