MEDICARE: MINDFUL CARING SAS INC

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

General Provider Information

NPI Number	:	1780467829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL CARING SAS INC

Provider Business Mailing Address
First Line	:	15716 SW 43RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-3827
Country	:	US
Telephone Number	:	786-468-1411
Fax Number	:

Provider Business Practice Location Address
First Line	:	15716 SW 43RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-3827
Country	:	US
Telephone Number	:	786-468-1411
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SERGIO SILVA
Credential	:
Telephone Number	:	786-468-1411

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	08/14/2023

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