Provider Demographics
NPI:1851083406
Name:PREFERRED KIDS SERVICES INC
Entity Type:Organization
Organization Name:PREFERRED KIDS SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARMONA STAWIARZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-320-6563
Mailing Address - Street 1:555 WINDERLEY PL STE 300
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7133
Mailing Address - Country:US
Mailing Address - Phone:386-320-5653
Mailing Address - Fax:
Practice Address - Street 1:555 WINDERLEY PL STE 300
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7133
Practice Address - Country:US
Practice Address - Phone:386-320-5653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty