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Organization
BRIGHT BLUE THERAPY CORP
Active
Organization
BRIGHT BLUE THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO FRANCISCO JUNCO RODRIGUEZ (OWNER)
(786) 365-8864
Entity
Organization
Contact information
Practice address
111 SW 3RD ST STE 608, MIAMI, FL 33130-1926
(786) 365-8864
(786) 365-8864
Mailing address
111 SW 3RD ST STE 608, MIAMI, FL 33130-1926
(786) 365-8864
(786) 365-8864
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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