Healthcare Provider Details

I. General information

NPI: 1255694394
Provider Name (Legal Business Name): ANGELS REACH FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5881 NW 151ST ST STE 211
MIAMI LAKES FL
33014-2456
US

IV. Provider business mailing address

5881 NW 151ST ST STE 211
MIAMI LAKES FL
33014-2456
US

V. Phone/Fax

Practice location:
  • Phone: 305-828-5276
  • Fax: 786-808-4247
Mailing address:
  • Phone: 305-828-5276
  • Fax: 786-808-4247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DORINDA LUZARDO
Title or Position: PRESIDENT
Credential:
Phone: 305-828-5276