Healthcare Provider Details

I. General information

NPI: 1790202430
Provider Name (Legal Business Name): 4KIDS ABA THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 NW 132ND CT
MIAMI FL
33182-2274
US

IV. Provider business mailing address

731 NW 132ND CT
MIAMI FL
33182-2274
US

V. Phone/Fax

Practice location:
  • Phone: 786-371-5405
  • Fax:
Mailing address:
  • Phone: 786-371-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MISS MARIA F PALABEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-371-5405