Organization
BRAINLOGIX LAB, LLC
Active
Other names
CogniVita Center for Neuropsychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELSIE KAUILANI SIU-YIU SMYTH PSYD (CLINICAL NEUROPSYCHOLOGIST)
(321) 461-3202
Entity
Organization
Contact information
Practice address
3801 AVALON PARK EAST BLVD STE 200, ORLANDO, FL 32828-4902
(321) 461-3202
(321) 204-6855
Mailing address
13001 FOUNDERS SQUARE DR STE 200, ORLANDO, FL 32828-7708
(321) 461-3202
(321) 204-6855
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
11/25/2025
Last updated
01/06/2026
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