Provider Demographics
NPI:1679006506
Name:TEACHING INTERVENTIONS KEEPING INDIVIDUALITY, INC
Entity Type:Organization
Organization Name:TEACHING INTERVENTIONS KEEPING INDIVIDUALITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:FIOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-961-7831
Mailing Address - Street 1:415 HIBISCUS BLVD
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-5070
Mailing Address - Country:US
Mailing Address - Phone:321-961-7831
Mailing Address - Fax:407-960-3009
Practice Address - Street 1:415 HIBISCUS BLVD
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-5070
Practice Address - Country:US
Practice Address - Phone:321-961-7831
Practice Address - Fax:407-960-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty