Brave Kids Ppec LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRAVE KIDS PPEC LLC

Practice address

10168 W Sample Rd
Coral Springs, FL 33065-3938

Phone

(754) 529-8265

Fax

(754) 529-8256

NPI assigned

Apr 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angie Lisset Mendoza Castillo

Title

Administrator

Phone

(754) 529-8265

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1174377568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10168 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653938",
            "telephone_number": "754-529-8265",
            "fax_number": "754-529-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10168 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653938",
            "telephone_number": "754-529-8265",
            "fax_number": "754-529-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE KIDS PPEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "MENDOZA CASTILLO",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "LISSET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "754-529-8265"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brainworks Neuro Solutions LLC
• Eliane Brana, APRN
• Lyubomyr Branets
• Joan Braulio
• Alan Leonard Braunstein, PH.D.
• Brave Kids Ppec Transportation LLC
• Breaking Ground Landscape Design, Inc. (Rehab Team Specialists, Inc.)
• Breakthrough ABA Therapy LLC
• Ray Mond Joseph Breitwieser Jr., RNFA
• Sharon Jean Brellis, RN

• Clinic/Center in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.