MEDICARE: BRIGHT SPECTRUM COACHING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1144192865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT SPECTRUM COACHING LLC

Provider Business Mailing Address
First Line	:	3504 HOGAN DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2003
Country	:	US
Telephone Number	:	954-203-0732
Fax Number	:

Provider Business Practice Location Address
First Line	:	3504 HOGAN DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2003
Country	:	US
Telephone Number	:	954-203-0732
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TAMIKA BETHEL
Credential	:
Telephone Number	:	954-203-0732

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	01/05/2026

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