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Organization

SHINING LIGHT THERAPY SERVICES LLC

Active
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Organization

SHINING LIGHT THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENILEE DUARTE OTR/L (OWNER/MANAGER)
(786) 202-8366
Entity
Organization

Contact information

Practice address
180 NE 29TH ST APT 905, MIAMI, FL 33137-5236
(786) 202-8366
Mailing address
180 NE 29TH ST APT 905, MIAMI, FL 33137-5236
(786) 202-8366

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—

Other

Enumeration date
03/25/2024
Last updated
08/22/2024
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