Organization · NPI-2

Mylilypad Aba

Behavior Analyst · Hialeah, FL

NPI number1891528402
StatusActive
Last updated in NPPESAug 21, 2024

Details

NPI
1891528402
Entity type
Organization (NPI-2)
Legal business name
Mylilypad Aba
Organization subpart
No
Enumeration date
Aug 21, 2024
Certification date
Aug 21, 2024
Last updated
Aug 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
251C00000X Day Training, Developmentally Disabled Services––
251S00000X Community/Behavioral Health––
252Y00000X Early Intervention Provider Agency––

Practice location

3570 Altis Cir N Unit 9105
Hialeah, FL 33018-6081

Phone 305-778-3079

Mailing address

3570 Altis Cir N Unit 9105
Hialeah, FL 33018-6081

Phone 305-778-3079

Authorized official

Dayalin Izquierdo
Bcba/Owner
3057783079

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