Provider Demographics
NPI:1407453251
Name:RAYS OF SUNSHINE BEHAVIORAL SERVICES, LLC
Entity Type:Organization
Organization Name:RAYS OF SUNSHINE BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CONN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:407-590-8695
Mailing Address - Street 1:387 KINGFISH DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4844
Mailing Address - Country:US
Mailing Address - Phone:407-590-8695
Mailing Address - Fax:
Practice Address - Street 1:387 KINGFISH DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4844
Practice Address - Country:US
Practice Address - Phone:407-590-8695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty