Active NPI
Bright Minds Therapy Center LLC
- Behavior Analyst
- Winter Park, FL
National Provider Identifier
1386383677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BRIGHT MINDS THERAPY CENTER LLC
- Practice address
- 2228-2354 Winter Woods Blvd
Suite 2256
Winter Park, FL 32792 - Phone
- (786) 597-3506
- NPI assigned
- Jun 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jorge L. Dominguez Horta
- Title
- Owner
- Phone
- (786) 597-3506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2228-2354 Winter Woods Blvd
Suite 2256
Winter Park, FL 32792
Mailing address
2228-2354 Winter Woods Blvd
Suite 2256
Winter Park, FL 32792
Phone (786) 597-3506
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654214400000",
"number": "1386383677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228-2354 WINTER WOODS BLVD",
"address_2": "SUITE 2256",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "786-597-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228-2354 WINTER WOODS BLVD",
"address_2": "SUITE 2256",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "786-597-3506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT MINDS THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ HORTA",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-597-3506"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.