Healthcare Provider Details

I. General information

NPI: 1184435646
Provider Name (Legal Business Name): SUNNYSIDE BEHAVIORAL HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 MAIN ST
WORCESTER MA
01608-1723
US

IV. Provider business mailing address

3275 DUNNING DR
ROYAL PALM BEACH FL
33411-8317
US

V. Phone/Fax

Practice location:
  • Phone: 305-713-8093
  • Fax:
Mailing address:
  • Phone: 305-713-8093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: BRUNA OROZ FOGLIANO
Title or Position: PRESIDENT
Credential: BCBA LBA
Phone: 305-713-8093