Provider Demographics
NPI:1417716341
Name:BRIGHT MINDS BEHAVIOR ANALYSIS INC
Entity Type:Organization
Organization Name:BRIGHT MINDS BEHAVIOR ANALYSIS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUSIET
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIEDES RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-445-2001
Mailing Address - Street 1:8950 SW 74TH CT STE 2229
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3171
Mailing Address - Country:US
Mailing Address - Phone:786-445-2001
Mailing Address - Fax:
Practice Address - Street 1:8950 SW 74TH CT STE 2229
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3171
Practice Address - Country:US
Practice Address - Phone:786-445-2001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty