Healthcare Provider Details

I. General information

NPI: 1972455244
Provider Name (Legal Business Name): TINY SEEDS ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10513 SW 73RD TER
MIAMI FL
33173-2965
US

IV. Provider business mailing address

10513 SW 73RD TER
MIAMI FL
33173-2965
US

V. Phone/Fax

Practice location:
  • Phone: 786-432-0828
  • Fax:
Mailing address:
  • Phone: 786-432-0828
  • 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: RENE GONZALEZ
Title or Position: OWNER / MANAGING MEMBER
Credential:
Phone: 786-763-6116