MEDICARE: BRIGHTER BEGINNINGS THERAPY SERVICES, LLC

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
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1740442292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER BEGINNINGS THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	1812 DARIEN DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-2029
Country	:	US
Telephone Number	:	859-552-4198
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 DARIEN DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-2029
Country	:	US
Telephone Number	:	859-552-4198
Fax Number	:

Authorized Official
Title or Position	:	MEMBER, BRIGHTER BEGINNINGS THERAPY
Name	:	JASON RESINGER
Credential	:
Telephone Number	:	859-552-4198

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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