Provider Demographics
NPI:1316783723
Name:HOUSE OF HEARTS ABA
Entity type:Organization
Organization Name:HOUSE OF HEARTS ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-906-1234
Mailing Address - Street 1:4974 SARAZEN DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2266
Mailing Address - Country:US
Mailing Address - Phone:347-906-1234
Mailing Address - Fax:305-390-3689
Practice Address - Street 1:4974 SARAZEN DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2266
Practice Address - Country:US
Practice Address - Phone:347-906-1234
Practice Address - Fax:305-390-3689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-04
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty