Provider Demographics
NPI:1205626546
Name:SOUTH FLORIDA KIDS THERAPY LLC
Entity type:Organization
Organization Name:SOUTH FLORIDA KIDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-389-4524
Mailing Address - Street 1:8100 SW 81ST DR STE 230A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6603
Mailing Address - Country:US
Mailing Address - Phone:786-389-4524
Mailing Address - Fax:786-389-4524
Practice Address - Street 1:8100 SW 81ST DR STE 230A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-6603
Practice Address - Country:US
Practice Address - Phone:786-389-4524
Practice Address - Fax:786-389-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty