Provider Demographics
NPI:1649163403
Name:BRITO DUARTE, GREISY
Entity type:Individual
Prefix:
First Name:GREISY
Middle Name:
Last Name:BRITO DUARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 VILLAGE BLVD APT 935
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2765
Mailing Address - Country:US
Mailing Address - Phone:305-360-0443
Mailing Address - Fax:
Practice Address - Street 1:1401 VILLAGE BLVD APT 935
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2765
Practice Address - Country:US
Practice Address - Phone:305-360-0443
Practice Address - Fax:305-810-9896
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician