Healthcare Provider Details
I. General information
NPI: 1992678346
Provider Name (Legal Business Name): EXCEEDING EXPECTATIONS ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23600 SW 115TH AVE
HOMESTEAD FL
33032-4510
US
IV. Provider business mailing address
23600 SW 115TH AVE
HOMESTEAD FL
33032-4510
US
V. Phone/Fax
- Phone: 786-306-6440
- Fax:
- Phone: 786-306-6440
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MIRIALYS
RUANO
Title or Position: OWNER
Credential:
Phone: 786-647-9422