MEDICARE: SUNSHINE MINDS BEHAVIOR SERVICES 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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992427355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE MINDS BEHAVIOR SERVICES CORP

Provider Business Mailing Address
First Line	:	1177 HYPOLUXO RD STE 105
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-4244
Country	:	US
Telephone Number	:	561-247-7605
Fax Number	:

Provider Business Practice Location Address
First Line	:	1177 HYPOLUXO RD STE 105
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-4244
Country	:	US
Telephone Number	:	561-247-7605
Fax Number	:	561-247-7607

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YERAMY ANEIRO
Credential	:
Telephone Number	:	561-247-7605

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	05/28/2026

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