Organization
ILLUMINATE THERAPY, LLC
Active
Organization
ILLUMINATE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA A VINAS BCBA (OWNER AND BCBA)
(305) 790-4514
Entity
Organization
Contact information
Practice address
40 FLORIDA BLVD, MIAMI, FL 33144-2438
(786) 436-0671
Mailing address
40 FLORIDA BLVD, MIAMI, FL 33144-2438
(786) 436-0671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
09/10/2020
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