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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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