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Organization

ABA BRILLIANCE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA ALBURY RBT (OWNER)
(754) 304-9179
Entity
Organization

Contact information

Practice address
8428 NW 47TH DR, CORAL SPRINGS, FL 33067-1977
(754) 304-9179
Mailing address
8428 NW 47TH DR, CORAL SPRINGS, FL 33067-1977
(754) 304-9179

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
03/14/2023
Last updated
09/15/2023
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