Healthcare Provider Details

I. General information

NPI: 1801269196
Provider Name (Legal Business Name): A WORLD AHEAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W 5TH WAY UNIT 1
HIALEAH FL
33010-2180
US

IV. Provider business mailing address

2300 W 5TH WAY UNIT 1
HIALEAH FL
33010-2180
US

V. Phone/Fax

Practice location:
  • Phone: 786-873-0460
  • Fax:
Mailing address:
  • Phone: 786-873-0460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberISW9492
License Number StateFL

VIII. Authorized Official

Name: DAYLEN GONZALEZ
Title or Position: CEO
Credential:
Phone: 786-873-0460