Provider Demographics
NPI:1386410561
Name:SUNSHINE KIDS ABA SERVICES
Entity type:Organization
Organization Name:SUNSHINE KIDS ABA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-BA
Authorized Official - Phone:786-267-2417
Mailing Address - Street 1:10718 SW 117TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3943
Mailing Address - Country:US
Mailing Address - Phone:786-267-2417
Mailing Address - Fax:
Practice Address - Street 1:10718 SW 117TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-3943
Practice Address - Country:US
Practice Address - Phone:786-267-2417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency