Provider Demographics
NPI:1457990673
Name:PIECE BY PIECE ABA THERAPY CENTER LLC
Entity Type:Organization
Organization Name:PIECE BY PIECE ABA THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-979-6178
Mailing Address - Street 1:10300 SW 72ND ST STE 499
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3022
Mailing Address - Country:US
Mailing Address - Phone:305-979-6178
Mailing Address - Fax:305-735-4556
Practice Address - Street 1:10300 SW 72ND ST STE 499
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3022
Practice Address - Country:US
Practice Address - Phone:305-979-6178
Practice Address - Fax:305-735-4556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty