Provider Demographics
NPI:1265923940
Name:ITS A WORLD 4 KIDS INC
Entity type:Organization
Organization Name:ITS A WORLD 4 KIDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAEROSEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEVIA RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-399-6454
Mailing Address - Street 1:1133 GOLDEN LAKES BLVD APT 816
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3337
Mailing Address - Country:US
Mailing Address - Phone:786-399-6454
Mailing Address - Fax:
Practice Address - Street 1:1133 GOLDEN LAKES BLVD APT 816
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3337
Practice Address - Country:US
Practice Address - Phone:786-399-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty