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NPI Code Detail

MEDICARE: BRIGHT LAND INC

MEDICARE: BRIGHT LAND INC
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821696162
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT LAND INC
Provider Business Mailing Address
First Line : 25 HOMESTEAD RD N STE 41
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6600
Country : US
Telephone Number : 239-888-0561
Fax Number : 239-360-8924
Provider Business Practice Location Address
First Line : 25 HOMESTEAD RD N STE 41
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6600
Country : US
Telephone Number : 239-888-0561
Fax Number : 239-360-8924
Authorized Official
Title or Position : PRESIDENT
Name : NELSON PRADO CANTO
Credential : BCBA
Telephone Number : 305-491-3494
Provider Enumeration Date : 10/09/2020
Last Update Date : 03/27/2026

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Directions to “BRIGHT LAND INC ” Practice Location

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