Healthcare Provider Details

I. General information

NPI: 1205354065
Provider Name (Legal Business Name): UNFOLDING BRIGHT MINDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 08/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10181 NW 58TH ST UNIT 14
DORAL FL
33178-2705
US

IV. Provider business mailing address

1504 BAY RD APT 1215
MIAMI BEACH FL
33139-3273
US

V. Phone/Fax

Practice location:
  • Phone: 786-712-6494
  • Fax:
Mailing address:
  • Phone: 786-712-6494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY DIANNE CURCIO
Title or Position: OWNER/DIRECTOR
Credential: M.ED., BCBA
Phone: 786-712-6494