Provider Demographics
NPI:1487250239
Name:SUNSHINE ABA THERAPY INC
Entity type:Organization
Organization Name:SUNSHINE ABA THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISBELL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVA-GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-6631
Mailing Address - Street 1:5550 GLADES RD STE 413
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7252
Mailing Address - Country:US
Mailing Address - Phone:561-334-8882
Mailing Address - Fax:561-258-8409
Practice Address - Street 1:5550 GLADES RD STE 413
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7252
Practice Address - Country:US
Practice Address - Phone:561-334-8882
Practice Address - Fax:561-258-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty