=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346924388
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HABIT HEROES BEHAVIORAL THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/12/2023
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1706 E SEMORAN BLVD STE 102
-----------------------------------------------------
City | APOPKA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32703-5610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-647-5753
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1706 E SEMORAN BLVD STE 102
-----------------------------------------------------
City | APOPKA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32703-5610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-647-5753
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BEHAVIOR ANALYST
-----------------------------------------------------
Name | JESSICA DEL SOL PILA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-647-5753
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------