Provider Demographics
NPI:1518506419
Name:KIDZ COMPANION INC
Entity Type:Organization
Organization Name:KIDZ COMPANION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-923-0695
Mailing Address - Street 1:1200 N FEDERAL HWY
Mailing Address - Street 2:SUITE 200 OFFICE 57
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432
Mailing Address - Country:US
Mailing Address - Phone:561-922-9178
Mailing Address - Fax:561-922-9178
Practice Address - Street 1:1200 N FEDERAL HWY
Practice Address - Street 2:SUITE 200 OFFICE 57
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432
Practice Address - Country:US
Practice Address - Phone:561-922-9178
Practice Address - Fax:561-922-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty