Healthcare Provider Details

I. General information

NPI: 1710881768
Provider Name (Legal Business Name): HAPPY KIDDOS BEHAVIORAL SERVICES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 S NARCOOSSEE RD
SAINT CLOUD FL
34771-7251
US

IV. Provider business mailing address

2500 SIMPSON RD
KISSIMMEE FL
34744-4637
US

V. Phone/Fax

Practice location:
  • Phone: 689-837-2423
  • Fax: 407-264-6484
Mailing address:
  • Phone: 689-837-2423
  • Fax: 407-264-6484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GABRIELA RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 689-837-2423