Provider Demographics
NPI:1629782586
Name:BEHAVIOR THERAPY SERVICES FOR LITTLE GIANTS, LLC
Entity Type:Organization
Organization Name:BEHAVIOR THERAPY SERVICES FOR LITTLE GIANTS, LLC
Other - Org Name:BEHAVIORAL THERAPY SERVICES FOR LITTLE GIANTS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELGA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATOS VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-707-9450
Mailing Address - Street 1:15160 SW 136TH ST UNIT 13
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-2665
Mailing Address - Country:US
Mailing Address - Phone:786-707-9450
Mailing Address - Fax:
Practice Address - Street 1:15160 SW 136TH ST UNIT 13
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-2665
Practice Address - Country:US
Practice Address - Phone:786-707-9450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty