Organization
BRIGHT MINDS THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L. DOMINGUEZ HORTA (OWNER)
(786) 597-3506
Entity
Organization
Contact information
Practice address
2228-2354 WINTER WOODS BLVD, SUITE 2256, WINTER PARK, FL 32792
(786) 597-3506
Mailing address
2228-2354 WINTER WOODS BLVD, SUITE 2256, WINTER PARK, FL 32792
(786) 597-3506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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