Organization
SHINING MINDS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIEL HERNANDEZ (DIRECTOR)
(786) 307-4212
Entity
Organization
Contact information
Practice address
8390 SW 43RD TER, MIAMI, FL 33155-4219
(786) 967-5655
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
05/10/2025
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