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Organization
MY KID THERAPY CENTER
Active
Organization
MY KID THERAPY CENTER
Active
Parent organization
MY KID THERAPY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY KID THERAPY CENTER
Authorized official
GRETTEL CASTILLO (PRESIDENT)
(786) 349-4700
Entity
Organization
Contact information
Practice address
1180 N KROME AVE, HOMESTEAD, FL 33030
(786) 349-4700
Mailing address
1180 N KROME AVE, HOMESTEAD, FL 33030-4413
(786) 349-4700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017427600
—
FL
Enumeration date
03/14/2018
Last updated
02/23/2023
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