Provider Demographics
NPI:1720798994
Name:HEALTH FOR LITTLE ANGEL INC
Entity Type:Organization
Organization Name:HEALTH FOR LITTLE ANGEL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:PEREZ ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-443-7779
Mailing Address - Street 1:2410 NW 111TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-2545
Mailing Address - Country:US
Mailing Address - Phone:786-443-7779
Mailing Address - Fax:
Practice Address - Street 1:2410 NW 111TH AVE
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-2545
Practice Address - Country:US
Practice Address - Phone:786-443-7779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty