Healthcare Provider Details

I. General information

NPI: 1841712809
Provider Name (Legal Business Name): BRIGHT BEHAVIOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIST DR STE 115
COLORADO SPRINGS CO
80919-3340
US

IV. Provider business mailing address

PO BOX 151716
AUSTIN TX
78715-1716
US

V. Phone/Fax

Practice location:
  • Phone: 512-898-9044
  • Fax: 512-857-1423
Mailing address:
  • Phone: 512-898-9044
  • Fax: 512-857-1423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNA LOWE
Title or Position: DIR OF BILLING SERVICES
Credential:
Phone: 512-900-8114