Healthcare Provider Details
I. General information
NPI: 1275281636
Provider Name (Legal Business Name): ALINA BRITO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/15/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12276 SAN JOSE BLVD STE 508
JACKSONVILLE FL
32223-8618
US
IV. Provider business mailing address
8343 PRINCETON SQUARE BLVD E APT 610
JACKSONVILLE FL
32256-8370
US
V. Phone/Fax
- Phone: 904-886-3228
- Fax:
- Phone: 954-226-2318
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-26-90340 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: