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NPI Code Detail

MEDICARE: BRIGHTVIEW BEHAVIORAL HEALTH CENTER

MEDICARE: BRIGHTVIEW BEHAVIORAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1033684279
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTVIEW BEHAVIORAL HEALTH CENTER
Provider Business Mailing Address
First Line : 225 S LAKE AVE STE 300
Second Line :
City : PASADENA
State : CA
Zip : 91101-3009
Country : US
Telephone Number : 323-244-8300
Fax Number : 323-544-6475
Provider Business Practice Location Address
First Line : 225 S LAKE AVE STE 300
Second Line :
City : PASADENA
State : CA
Zip : 91101-3009
Country : US
Telephone Number : 323-244-8300
Fax Number : 323-544-6475
Authorized Official
Title or Position : BOARD CERTIFIED BEHAVIOR ANALYST
Name : MRS. RITA B. MASON
Credential : MA, BCBA
Telephone Number : 323-244-8300
Provider Enumeration Date : 10/03/2018
Last Update Date : 04/12/2019

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Directions to “BRIGHTVIEW BEHAVIORAL HEALTH CENTER ” Practice Location

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