Provider Demographics
NPI:1598479958
Name:AMAZING KIDZ THERAPY CENTERS INC
Entity Type:Organization
Organization Name:AMAZING KIDZ THERAPY CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-593-2230
Mailing Address - Street 1:9020 SW 137TH AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1427
Mailing Address - Country:US
Mailing Address - Phone:786-593-2230
Mailing Address - Fax:
Practice Address - Street 1:9020 SW 137TH AVE STE 211
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1427
Practice Address - Country:US
Practice Address - Phone:786-593-2230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty