MEDICARE: BRIGHT PATH ABA 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1962386524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT PATH ABA LLC

Provider Business Mailing Address
First Line	:	4320 EL COMO WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6653
Country	:	US
Telephone Number	:	702-665-1519
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 EL COMO WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6653
Country	:	US
Telephone Number	:	702-665-1519
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MS. YUDAIMY MESA GRANADOS
Credential	:
Telephone Number	:	702-665-1519

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	08/05/2025

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Directions to “BRIGHT PATH ABA LLC ” Practice Location

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