Healthcare Provider Details

I. General information

NPI: 1306750278
Provider Name (Legal Business Name): BRIGHTER FUTURE COMPREHENSIVE PSYHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W. BASELINE RD. UNIT D
GLENDORA CA
91740
US

IV. Provider business mailing address

420 W. BASELINE RD. UNIT D
GLENDORA CA
91740
US

V. Phone/Fax

Practice location:
  • Phone: 626-513-8831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAUREN NICOLE EBERT
Title or Position: OWNER/LEAD PSYCHOLOGIST
Credential: PSYD
Phone: 626-513-8831