Provider Demographics
NPI:1538788260
Name:HAYA GARCIA, LEIDYS
Entity type:Individual
Prefix:
First Name:LEIDYS
Middle Name:
Last Name:HAYA GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ABA SOLUTIONS FOR AUTISM INC 1702 SE 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035
Mailing Address - Country:US
Mailing Address - Phone:786-318-8087
Mailing Address - Fax:
Practice Address - Street 1:ABA SOLUTIONS FOR AUTISM INC 1701 SE 17TH AVE
Practice Address - Street 2:
Practice Address - City:HOMSTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035
Practice Address - Country:US
Practice Address - Phone:786-481-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-83357106S00000X
FL18151224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician