| Brilliant Future Llc | |
|
1365 W 28th St Apt 3na Hialeah FL 33010-1036 | |
| (178) 634-6938 | |
| Not Available |
| Full Name | Brilliant Future Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 1365 W 28th St Apt 3na, Hialeah, Florida |
| Authorized Official Name and Position | Mercedes Maria Fuentes Vazquez (PRESIDENT) |
| Authorized Official Contact | 7863469383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Future Llc 1365 W 28th St Apt 3na Hialeah FL 33010-1036 Ph: (178) 634-6938 | Brilliant Future Llc 1365 W 28th St Apt 3na Hialeah FL 33010-1036 Ph: (178) 634-6938 |
| NPI Number | 1750154548 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750154548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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