MEDICARE: BRIGHT SPARK ABA PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1962202846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT SPARK ABA PLLC

Provider Business Mailing Address
First Line	:	5633 GROVE COVE DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8344
Country	:	US
Telephone Number	:	469-200-0177
Fax Number	:

Provider Business Practice Location Address
First Line	:	5633 GROVE COVE DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8344
Country	:	US
Telephone Number	:	469-200-0177
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCISCA OFILI-ELUE
Credential	:	LBA
Telephone Number	:	469-200-0177

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	03/19/2025

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