| Bright Blue Therapy Corp | |
|
111 Sw 3rd St Ste 608 Miami FL 33130-1926 | |
| (786) 365-8864 | |
| (786) 365-8864 |
| Full Name | Bright Blue Therapy Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 111 Sw 3rd St Ste 608, Miami, Florida |
| Authorized Official Name and Position | Lazaro Francisco Junco Rodriguez (OWNER) |
| Authorized Official Contact | 7863658864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Blue Therapy Corp 111 Sw 3rd St Ste 608 Miami FL 33130-1926 Ph: (786) 365-8864 | Bright Blue Therapy Corp 111 Sw 3rd St Ste 608 Miami FL 33130-1926 Ph: (786) 365-8864 |
| NPI Number | 1053188292 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053188292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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