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Organization
BRILLIANT DREAM CORP
Active
Organization
BRILLIANT DREAM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAHIMA CARRILLO RBT (OWNER)
(786) 317-1445
Entity
Organization
Contact information
Practice address
648 NE 5TH WAY, FLORIDA CITY, FL 33034-3261
(786) 317-1445
Mailing address
648 NE 5TH WAY, FLORIDA CITY, FL 33034-3261
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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