Provider Demographics
NPI:1104472539
Name:KIDS LIFE SOLUTIONS
Entity type:Organization
Organization Name:KIDS LIFE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:MERCEYDES
Authorized Official - Middle Name:
Authorized Official - Last Name:MORASSI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-988-3800
Mailing Address - Street 1:360 W 39TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4340
Mailing Address - Country:US
Mailing Address - Phone:786-804-1000
Mailing Address - Fax:
Practice Address - Street 1:290 NE 151ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-5010
Practice Address - Country:US
Practice Address - Phone:305-988-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty