Provider Demographics
NPI:1578373072
Name:CENTRAL FLORIDA ABA THERAPY CORP.
Entity type:Organization
Organization Name:CENTRAL FLORIDA ABA THERAPY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-218-5996
Mailing Address - Street 1:4100 SPIRIT LAKE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-5081
Mailing Address - Country:US
Mailing Address - Phone:305-218-5996
Mailing Address - Fax:
Practice Address - Street 1:4100 SPIRIT LAKE RD STE 3
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-5081
Practice Address - Country:US
Practice Address - Phone:305-218-5996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty