MEDICARE: HAPPY FACE BEHAVIOR CORP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932793585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY FACE BEHAVIOR CORP

Provider Business Mailing Address
First Line	:	6601 MEMORIAL HWY STE 107
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4501
Country	:	US
Telephone Number	:	813-480-0415
Fax Number	:	786-516-2809

Provider Business Practice Location Address
First Line	:	6601 MEMORIAL HWY STE 107
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4501
Country	:	US
Telephone Number	:	813-480-0415
Fax Number	:	786-516-2809

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LILIAM BARBARA MIRA
Credential	:
Telephone Number	:	813-480-0415

Provider Enumeration Date	:	02/24/2021
Last Update Date	:	01/06/2026

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Directions to “HAPPY FACE BEHAVIOR CORP ” Practice Location

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