MEDICARE: SUNFHLOWER INC

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	:	1518510437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFHLOWER INC

Provider Business Mailing Address
First Line	:	5215 SW 121ST TER
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33330-4277
Country	:	US
Telephone Number	:	954-483-6974
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 SW 121ST TER
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33330-4277
Country	:	US
Telephone Number	:	954-483-6974
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BRENDA BRAGANZA
Credential	:	M.S., BCBA
Telephone Number	:	954-483-6974

Provider Enumeration Date	:	07/19/2019
Last Update Date	:	07/19/2019

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