Provider Demographics
NPI:1821440892
Name:ABA THERAPY 4KIDS LLC
Entity Type:Organization
Organization Name:ABA THERAPY 4KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISABET
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-261-5601
Mailing Address - Street 1:1544 SEMINOLA BLVD UNIT 116
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-3642
Mailing Address - Country:US
Mailing Address - Phone:407-636-9804
Mailing Address - Fax:
Practice Address - Street 1:1544 SEMINOLA BLVD UNIT 116
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-3642
Practice Address - Country:US
Practice Address - Phone:786-261-5601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-01
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care