Shine Ayg LLC

Primary specialty

Art TherapistTaxonomy code 221700000X

Legal business name

SHINE AYG LLC

Doing business as

Bea Brows Spa

Practice address

815 N Federal Hwy
Boca Raton, FL 33432-2737

Phone

(561) 409-4854

NPI assigned

May 30, 2024

Last updated

May 30, 2024By 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

Mrs. Andrea Beatriz Pena Castillo Sr.

Title

Owner

Phone

(786) 660-3711

Specialties & licenses 1

Addresses

Other names 1

• BEA BROWS SPA Doing business as

Locations

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1861232423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322737",
            "telephone_number": "561-409-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322737",
            "telephone_number": "561-409-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE AYG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "PENA CASTILLO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BEATRIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-660-3711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEA BROWS SPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Sherwood
• Jessica Paula Shevchenko, CCC-SLP
• David M Shevitz, MD
• Kahlil A Shillingford, M.D.
• Roni Shinderman
• Lata Shintre, MD
• Irene Shir, PA
• Tyoma Shiver, LMHC
• Niurka Canelo Shkolnik, LCSW
• Sean Shkolnik, D.D.S.

• Art Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Art Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.