Healthcare Provider Details

I. General information

NPI: 1073375952
Provider Name (Legal Business Name): DEVELOPING BRAINS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10855 SW 72ND ST STE 15&16
MIAMI FL
33173-2788
US

IV. Provider business mailing address

10855 SW 72ND ST STE 15&16
MIAMI FL
33173-2788
US

V. Phone/Fax

Practice location:
  • Phone: 305-720-2166
  • Fax: 305-720-2166
Mailing address:
  • Phone: 305-720-2166
  • Fax: 305-720-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LIUDMILA GUAS
Title or Position: OWNER
Credential:
Phone: 305-720-2166