| Kids Corner Behavior Services Inc | |
|
3357 W Vine St Ste 103 Kissimmee FL 34741-4664 | |
| (407) 201-6255 | |
| (407) 201-7195 |
| Full Name | Kids Corner Behavior Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3357 W Vine St Ste 103, Kissimmee, Florida |
| Authorized Official Name and Position | Yvonne L Rodriguez (CFO) |
| Authorized Official Contact | 4072016255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Corner Behavior Services Inc 2208 W Columbia Ave Kissimmee FL 34741-3436 Ph: (407) 201-6255 | Kids Corner Behavior Services Inc 3357 W Vine St Ste 103 Kissimmee FL 34741-4664 Ph: (407) 201-6255 |
| NPI Number | 1982133328 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982133328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Florida) | Primary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
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