Provider Demographics
NPI:1316664402
Name:JW THERAPY FOR KIDS INC
Entity type:Organization
Organization Name:JW THERAPY FOR KIDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:W
Authorized Official - Last Name:FELIPE SAINZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-510-0304
Mailing Address - Street 1:1432 VENETIA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2260
Mailing Address - Country:US
Mailing Address - Phone:786-510-0304
Mailing Address - Fax:
Practice Address - Street 1:1432 VENETIA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2260
Practice Address - Country:US
Practice Address - Phone:786-510-0304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty