Provider Demographics
NPI:1174374672
Name:SPRING HEALTH AUTISM INTERVENTION
Entity type:Organization
Organization Name:SPRING HEALTH AUTISM INTERVENTION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-501-3717
Mailing Address - Street 1:2875 NE 191ST ST STE 500
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2832
Mailing Address - Country:US
Mailing Address - Phone:786-501-3717
Mailing Address - Fax:
Practice Address - Street 1:2875 NE 191ST ST STE 500
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2832
Practice Address - Country:US
Practice Address - Phone:786-501-3717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPRING HEALTH AUTISM INTERVENTION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-01
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty