Brilliant Future LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

BRILLIANT FUTURE LLC

Practice address

1365 W 28TH St Apt 3NA
Hialeah, FL 33010-1036

Phone

(178) 634-6938

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Mercedes Maria Fuentes Vazquez

Title

President

Phone

(786) 346-9383

Specialties & licenses 1

Addresses

Other names 1

• BRILLIANT FUTURE LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mercedes M Fuentes Vazquez

  • Assistant Behavior Analyst
  • Hialeah, FL
  • NPI 1487205290

  Behavior Technician

  NPD

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1750154548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 W 28TH ST APT 3NA",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101036",
            "telephone_number": "178-634-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W 28TH ST APT 3NA",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101036",
            "telephone_number": "178-634-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT FUTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "FUENTES VAZQUEZ",
        "authorized_official_first_name": "MERCEDES  MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-346-9383"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRILLIANT FUTURE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Behavior Technician in Hialeah, FL
• Providers in Hialeah, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.