Provider Demographics
NPI: | 1194404111 |
---|---|
Name: | GIFTED IN GREATNESS ABA & AUTSIM CENTER CORP |
Entity type: | Organization |
Organization Name: | GIFTED IN GREATNESS ABA & AUTSIM CENTER CORP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | YAMILEE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MIGLIORI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 786-975-4609 |
Mailing Address - Street 1: | 1970 SE 22ND CT |
Mailing Address - Street 2: | |
Mailing Address - City: | HOMESTEAD |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33035-1238 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 786-975-4609 |
Mailing Address - Fax: | 866-730-5962 |
Practice Address - Street 1: | 100125 OVERSEAS HWY |
Practice Address - Street 2: | |
Practice Address - City: | KEY LARGO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33037-4423 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-975-4609 |
Practice Address - Fax: | 866-730-5962 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-07-17 |
Last Update Date: | 2025-01-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |