Provider Demographics
NPI:1427775071
Name:HEIDY'S ABA THERAPY CORP
Entity type:Organization
Organization Name:HEIDY'S ABA THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-2869
Mailing Address - Street 1:8743 SW 9TH TER STE 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3235
Mailing Address - Country:US
Mailing Address - Phone:786-360-2869
Mailing Address - Fax:786-409-2247
Practice Address - Street 1:8743 SW 9TH TER STE 4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3235
Practice Address - Country:US
Practice Address - Phone:786-360-2869
Practice Address - Fax:786-409-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty