| Brainlogix Lab, Llc | |
|
3801 Avalon Park East Blvd Ste 200 Orlando FL 32828-4902 | |
| (321) 461-3202 | |
| (321) 204-6855 |
| Full Name | Brainlogix Lab, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3801 Avalon Park East Blvd Ste 200, Orlando, Florida |
| Authorized Official Name and Position | Chelsie Kauilani Siu-yiu Smyth (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3214613202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainlogix Lab, Llc 13001 Founders Square Dr Ste 200 Orlando FL 32828-7708 Ph: (321) 461-3202 | Brainlogix Lab, Llc 3801 Avalon Park East Blvd Ste 200 Orlando FL 32828-4902 Ph: (321) 461-3202 |
| NPI Number | 1669334827 |
|---|---|
| Provider Enumeration Date | 11/25/2025 |
| Last Update Date | 11/25/2025 |
| Certification Date | 11/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669334827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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