Provider Demographics
NPI:1740073899
Name:KIDS CORNER BEHAVIOR SERVICES INC
Entity type:Organization
Organization Name:KIDS CORNER BEHAVIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:VP
Authorized Official - Phone:407-201-6255
Mailing Address - Street 1:311 COMMERCE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-1549
Mailing Address - Country:US
Mailing Address - Phone:407-201-6255
Mailing Address - Fax:407-201-7195
Practice Address - Street 1:311 COMMERCE CENTER DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-1549
Practice Address - Country:US
Practice Address - Phone:407-201-6255
Practice Address - Fax:407-201-7195
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIDS CORNER BEHAVIOR SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty