Healthcare Provider Details

I. General information

NPI: 1841752888
Provider Name (Legal Business Name): DEVELOPING NEW HORIZONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 NW 89TH CT STE 117
DORAL FL
33172-2645
US

IV. Provider business mailing address

1500 NW 89TH CT STE 117
DORAL FL
33172-2645
US

V. Phone/Fax

Practice location:
  • Phone: 305-431-6410
  • Fax: 305-995-0871
Mailing address:
  • Phone: 305-431-6410
  • Fax: 305-995-0871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: GRIELA C RODRIGUEZ
Title or Position: OWNER
Credential: BCBA
Phone: 305-431-6410