Healthcare Provider Details

I. General information

NPI: 1700708633
Provider Name (Legal Business Name): A BRIGHTER ALTERNATIVE CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 BASELINE RD STE 200
BOULDER CO
80303-2668
US

IV. Provider business mailing address

4770 BASELINE RD STE 200
BOULDER CO
80303-2668
US

V. Phone/Fax

Practice location:
  • Phone: 561-690-7960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: AVRAHAM AMINOV
Title or Position: CEO
Credential:
Phone: 561-690-7960