Provider Demographics
NPI:1992427355
Name:SUNSHINE MINDS BEHAVIOR SERVICES CORP
Entity type:Organization
Organization Name:SUNSHINE MINDS BEHAVIOR SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YERAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-247-7605
Mailing Address - Street 1:1177 HYPOLUXO RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4244
Mailing Address - Country:US
Mailing Address - Phone:561-247-7605
Mailing Address - Fax:
Practice Address - Street 1:1177 HYPOLUXO RD STE 105
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-4244
Practice Address - Country:US
Practice Address - Phone:561-247-7605
Practice Address - Fax:561-247-7607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty