Healthcare Provider Details

I. General information

NPI: 1396366217
Provider Name (Legal Business Name): GIFTED KIDS THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 SW 137TH AVE
MIRAMAR FL
33027-3212
US

IV. Provider business mailing address

3801 SW 137TH AVE
MIRAMAR FL
33027-3212
US

V. Phone/Fax

Practice location:
  • Phone: 561-409-3418
  • Fax: 786-544-3309
Mailing address:
  • Phone: 561-409-3418
  • Fax: 786-544-3309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. YIGSY MARIA LEMOS
Title or Position: APPLIED BEHAVIOR ANALYST
Credential: MS
Phone: 786-281-2421