MEDICARE: SUNNYSIDE BEHAVIORAL HEALTH CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1184435646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNYSIDE BEHAVIORAL HEALTH CORP

Provider Business Mailing Address
First Line	:	3275 DUNNING DR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8317
Country	:	US
Telephone Number	:	305-713-8093
Fax Number	:

Provider Business Practice Location Address
First Line	:	3275 DUNNING DR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8317
Country	:	US
Telephone Number	:	305-713-8093
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	BRUNA OROZ FOGLIANO
Credential	:
Telephone Number	:	305-713-8093

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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Directions to “SUNNYSIDE BEHAVIORAL HEALTH CORP ” Practice Location

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