| Brilliant Dream Corp | |
|
648 Ne 5th Way Florida City FL 33034-3261 | |
| (786) 317-1445 | |
| Not Available |
| Full Name | Brilliant Dream Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 648 Ne 5th Way, Florida City, Florida |
| Authorized Official Name and Position | Yahima Carrillo (OWNER) |
| Authorized Official Contact | 7863171445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Dream Corp 648 Ne 5th Way Florida City FL 33034-3261 Ph: () - | Brilliant Dream Corp 648 Ne 5th Way Florida City FL 33034-3261 Ph: (786) 317-1445 |
| NPI Number | 1992499602 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992499602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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