Provider Demographics
NPI:1144509100
Name:DYNAMIC KIDS CONSULTING, INC.
Entity type:Organization
Organization Name:DYNAMIC KIDS CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GINATTA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-576-7604
Mailing Address - Street 1:2501 NW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-4305
Mailing Address - Country:US
Mailing Address - Phone:305-576-7604
Mailing Address - Fax:305-576-7604
Practice Address - Street 1:2501 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-4305
Practice Address - Country:US
Practice Address - Phone:305-576-7604
Practice Address - Fax:305-576-7604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty