1255600490 NPI number — A BETTER DAY THERAPY, LEARNING CENTER, INC.

Table of content: (NPI 1255600490)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255600490 NPI number — A BETTER DAY THERAPY, LEARNING CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A BETTER DAY THERAPY, LEARNING CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255600490
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 228224
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33222-8224
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2894 NW 79TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33122-1033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-646-9250
Provider Business Practice Location Address Fax Number:
305-597-3863
Provider Enumeration Date:
12/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MERIDA
Authorized Official First Name:
CARIDAD
Authorized Official Middle Name:
BOUZA
Authorized Official Title or Position:
PRESIDENT/ADMINISTRATION
Authorized Official Telephone Number:
786-646-9250

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 116507500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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