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NPI 1396301743

NPI 1396301743 : BRAIN GAINS THERAPY SOLUTIONS, LLC : CORAL SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1396301743
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRAIN GAINS THERAPY SOLUTIONS, LLC 
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Dates
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    Enumeration Date     |    05/10/2019
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    11120 NW 10TH PL 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33071-6302
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    Country              |    US
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    Telephone            |    754-216-8839
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11120 NW 10TH PL 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33071-6302
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    Country              |    US
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    Telephone            |    754-216-8839
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SPEECH-LANGUAGE PATHOLOGIST
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    Name                 |     ALEXIS  YERO 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    754-216-8839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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