Healthcare Provider Details

I. General information

NPI: 1457261661
Provider Name (Legal Business Name): BHVR & SHINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10235 W SAMPLE RD STE 200
CORAL SPRINGS FL
33065-3982
US

IV. Provider business mailing address

8385 NW 14TH ST
CORAL SPRINGS FL
33071-6777
US

V. Phone/Fax

Practice location:
  • Phone: 786-449-7736
  • Fax:
Mailing address:
  • Phone: 786-449-7736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MAYILI TORRES REYES
Title or Position: OWNER
Credential: BCBA
Phone: 786-449-7736