Healthcare Provider Details

I. General information

NPI: 1215719406
Provider Name (Legal Business Name): 4KIDS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 SW 8TH ST STE 216
MIAMI FL
33184-1743
US

IV. Provider business mailing address

11890 SW 8TH ST STE 216
MIAMI FL
33184-1743
US

V. Phone/Fax

Practice location:
  • Phone: 850-291-1695
  • Fax:
Mailing address:
  • Phone: 850-291-1695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANNIA SOTO
Title or Position: OWNER
Credential: BCBA
Phone: 850-291-1695