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NPI Code Detail

MEDICARE: AWESOMETISM BRAIN TRAIN LLC

MEDICARE: AWESOMETISM BRAIN TRAIN LLC
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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1871456145
Entity Type Code : Organization
Provider Name (Legal Business Name) : AWESOMETISM BRAIN TRAIN LLC
Provider Business Mailing Address
First Line : 2045 AMBERGRIS DR
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8325
Country : US
Telephone Number : 352-667-5576
Fax Number :
Provider Business Practice Location Address
First Line : 2045 AMBERGRIS DR
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8325
Country : US
Telephone Number : 352-667-5576
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : MRS. SAHAR YASSER HASSANE
Credential : M.ED., BCBA, LBA
Telephone Number : 352-667-5576
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/10/2025

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Directions to “AWESOMETISM BRAIN TRAIN LLC ” Practice Location

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