Healthcare Provider Details

I. General information

NPI: 1902735517
Provider Name (Legal Business Name): EARLY CHILDHOOD BEHAVIOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 GRIFFIN RD # 338
DAVIE FL
33314-4416
US

IV. Provider business mailing address

6100 GRIFFIN RD # 338
DAVIE FL
33314-4416
US

V. Phone/Fax

Practice location:
  • Phone: 954-607-8846
  • Fax:
Mailing address:
  • Phone: 954-607-8846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ELIO CERVANTES FIGUEROA
Title or Position: OWNER
Credential:
Phone: 954-607-8846