MEDICARE: SUNSHINE THERAPIES

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1265294441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE THERAPIES

Provider Business Mailing Address
First Line	:	4422 S FOUR MILE RUN DR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-3502
Country	:	US
Telephone Number	:	702-501-9217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4422 S FOUR MILE RUN DR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-3502
Country	:	US
Telephone Number	:	702-501-9217
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA ALIS SUNSHINE
Credential	:	BCBA
Telephone Number	:	702-501-9217

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	03/03/2024

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Directions to “SUNSHINE THERAPIES ” Practice Location

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