Healthcare Provider Details

I. General information

NPI: 1275457608
Provider Name (Legal Business Name): SUNRIZAS THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 N KILLIAN DR STE 103B
LAKE PARK FL
33403-1960
US

IV. Provider business mailing address

1408 N KILLIAN DR STE 103B
LAKE PARK FL
33403-1960
US

V. Phone/Fax

Practice location:
  • Phone: 786-447-4586
  • Fax:
Mailing address:
  • Phone: 786-447-4586
  • 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: LIXAN GONZALEZ PEREZ
Title or Position: PRESIDENT
Credential:
Phone: 786-237-7606