MEDICARE: HOUSE OF HEARTS ABA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1780540526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE OF HEARTS ABA

Provider Business Mailing Address
First Line	:	4974 SARAZEN DR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-2266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 LANG AVE NE STE 110
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4475
Country	:	US
Telephone Number	:	347-906-1234
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NOAH GOLDSTEIN
Credential	:
Telephone Number	:	347-906-1234

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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Directions to “HOUSE OF HEARTS ABA ” Practice Location

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