Healthcare Provider Details
I. General information
NPI: 1992652606
Provider Name (Legal Business Name): LITTLE HAPPY BEHAVIORAL GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3408 W 84TH ST STE 310
HIALEAH FL
33018-4944
US
IV. Provider business mailing address
3408 W 84TH ST STE 310
HIALEAH FL
33018-4944
US
V. Phone/Fax
- Phone: 786-481-9297
- Fax:
- Phone: 786-481-9297
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIONALD
D
MELGAREJO DIAZ
Title or Position: OWNER
Credential:
Phone: 786-481-9297