| Bright Minds Aba Services Corp | |
|
1777 Tamiami Trl Port Charlotte FL 33948-1078 | |
| (786) 298-9994 | |
| Not Available |
| Full Name | Bright Minds Aba Services Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1777 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Madelyn Asuar (OWNER) |
| Authorized Official Contact | 7862989994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Minds Aba Services Corp 1777 Tamiami Trl Port Charlotte FL 33948-1078 Ph: (786) 298-9994 | Bright Minds Aba Services Corp 1777 Tamiami Trl Port Charlotte FL 33948-1078 Ph: (786) 298-9994 |
| NPI Number | 1134901036 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134901036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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