Healthcare Provider Details

I. General information

NPI: 1003746496
Provider Name (Legal Business Name): SOARING HORIZON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5650 ENCHANTED MEADOW ALY
CLERMONT FL
34714-8258
US

IV. Provider business mailing address

5650 ENCHANTED MEADOW ALY
CLERMONT FL
34714-8258
US

V. Phone/Fax

Practice location:
  • Phone: 407-818-2431
  • Fax:
Mailing address:
  • Phone: 407-818-2431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIAM LUCIA MACHADO
Title or Position: BCBA/OWNER
Credential: MS, BCBA
Phone: 407-818-2431