Provider Demographics
NPI:1750033858
Name:DRIGGS CHILD HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:DRIGGS CHILD HEALTH SOLUTIONS
Other - Org Name:DRIGGS CHILD HEALTH SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-332-3365
Mailing Address - Street 1:17324 NW 63RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4472
Mailing Address - Country:US
Mailing Address - Phone:786-332-3365
Mailing Address - Fax:786-332-3365
Practice Address - Street 1:17324 NW 63RD AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4472
Practice Address - Country:US
Practice Address - Phone:786-332-3365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty