Healthcare Provider Details

I. General information

NPI: 1326495029
Provider Name (Legal Business Name): CHILD ADVANCEMENT CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 NE 8TH AVE
FORT LAUDERDALE FL
33301-1639
US

IV. Provider business mailing address

20 NE 8TH AVE
FORT LAUDERDALE FL
33301-1639
US

V. Phone/Fax

Practice location:
  • Phone: 305-833-8591
  • Fax: 954-404-6522
Mailing address:
  • Phone: 305-833-8591
  • Fax: 954-404-6522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. CARLOS E BRAVO
Title or Position: PRESIDENT
Credential:
Phone: 786-660-0350