Organization
BRILLIANT MINDS AND BODIES CHILDREN'S THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CAROLINA MONZON LAGE (MANAGER)
(786) 458-9535
Entity
Organization
Contact information
Practice address
2647 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4840
(786) 458-9535
Mailing address
2647 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4840
(786) 458-9535
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2021
Last updated
06/13/2023
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