Provider Demographics
NPI:1336867092
Name:AMIGO HAPPY KIDS ABA CENTER LLC
Entity Type:Organization
Organization Name:AMIGO HAPPY KIDS ABA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:AMIGO GUILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-965-1525
Mailing Address - Street 1:7925 NW 12TH ST STE 315
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1846
Mailing Address - Country:US
Mailing Address - Phone:305-965-1525
Mailing Address - Fax:
Practice Address - Street 1:7925 NW 12TH ST STE 315
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1846
Practice Address - Country:US
Practice Address - Phone:305-965-1525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty