Healthcare Provider Details

I. General information

NPI: 1477088946
Provider Name (Legal Business Name): WE ARE UNIQUE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11276 SW 232ND ST
GOULDS FL
33170-7505
US

IV. Provider business mailing address

11276 SW 232ND ST
GOULDS FL
33170-7505
US

V. Phone/Fax

Practice location:
  • Phone: 786-286-1644
  • Fax:
Mailing address:
  • Phone: 786-286-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberB630117891680
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN STEVEN BRITO
Title or Position: OWNER
Credential:
Phone: 786-286-1644