Healthcare Provider Details

I. General information

NPI: 1629920236
Provider Name (Legal Business Name): BRIGHT BITES THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35856 N MURRAY GREY DR
SAN TAN VALLEY AZ
85143-5548
US

IV. Provider business mailing address

21168 E OCOTILLO RD # 1075
QUEEN CREEK AZ
85142-8175
US

V. Phone/Fax

Practice location:
  • Phone: 480-734-3566
  • Fax:
Mailing address:
  • Phone: 480-734-3566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BRANDI WHITE
Title or Position: OWNER
Credential: SLPA
Phone: 480-734-3566