Provider Demographics
NPI:1659259992
Name:CHILDRENS ABA SERVICES, LLC
Entity type:Organization
Organization Name:CHILDRENS ABA SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YOLEIDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-499-5497
Mailing Address - Street 1:7435 W 14TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-3413
Mailing Address - Country:US
Mailing Address - Phone:786-499-5497
Mailing Address - Fax:
Practice Address - Street 1:3020 LEE BLVD STE 10
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-2438
Practice Address - Country:US
Practice Address - Phone:786-499-5497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty