Healthcare Provider Details

I. General information

NPI: 1912869462
Provider Name (Legal Business Name): ASTOUNDING BEHAVIOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2278 TWIN FLOWER LN
SANFORD FL
32771-4822
US

IV. Provider business mailing address

2278 TWIN FLOWER LN
SANFORD FL
32771-4822
US

V. Phone/Fax

Practice location:
  • Phone: 305-780-9386
  • Fax:
Mailing address:
  • Phone: 305-780-9386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CORIAN ASPRINO-BRINEZ
Title or Position: CEO
Credential: BCBA
Phone: 305-780-9386