MEDICARE: CHRISTIAN S BRITO

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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518248038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN S BRITO

Provider Business Mailing Address
First Line	:	11276 SW 232ND ST
Second Line	:
City	:	GOULDS
State	:	FL
Zip	:	33170-7505
Country	:	US
Telephone Number	:	305-912-8399
Fax Number	:	305-508-6537

Provider Business Practice Location Address
First Line	:	11276 SW 232ND ST
Second Line	:
City	:	GOULDS
State	:	FL
Zip	:	33170
Country	:	US
Telephone Number	:	305-912-8399
Fax Number	:	305-508-6537

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

Provider Enumeration Date	:	08/30/2011
Last Update Date	:	02/18/2019

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Directions to “ CHRISTIAN S BRITO ” Practice Location

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