MEDICARE: BRIAN MUGICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1508418146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MUGICA

Provider Business Mailing Address
First Line	:	9323 LONGMEADOW CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-3139
Country	:	US
Telephone Number	:	786-307-7822
Fax Number	:

Provider Business Practice Location Address
First Line	:	4793 N CONGRESS AVE STE 203-204
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-7937
Country	:	US
Telephone Number	:	786-307-7822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2019
Last Update Date	:	08/22/2025

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Directions to “ BRIAN MUGICA ” Practice Location

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