Provider Demographics
NPI:1952018301
Name:SUPERHERO ABA SERVICES INC
Entity type:Organization
Organization Name:SUPERHERO ABA SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ MENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-926-5427
Mailing Address - Street 1:9001 SW 24 ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165
Mailing Address - Country:US
Mailing Address - Phone:305-900-8367
Mailing Address - Fax:305-946-0168
Practice Address - Street 1:9001 SW 24 ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:059-008-3673
Practice Address - Fax:305-946-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty