Brilliant Minds Behavior Services, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BRILLIANT MINDS BEHAVIOR SERVICES, LLC

Practice address

5380 NW 41St Way
Coconut Creek, FL 33073-5028

Phone

(305) 546-2171

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andy Garcia

Title

Owner

Phone

(305) 546-2171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1407452352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 NW 41ST WAY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330735028",
            "telephone_number": "305-546-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 NW 41ST WAY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330735028",
            "telephone_number": "305-546-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT MINDS BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-546-2171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.