Healthcare Provider Details

I. General information

NPI: 1639901234
Provider Name (Legal Business Name): A BRIGHTER WAY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 SILVER SPRINGS DR
HIGGANUM CT
06441-4263
US

IV. Provider business mailing address

152 SILVER SPRINGS DR
HIGGANUM CT
06441-4263
US

V. Phone/Fax

Practice location:
  • Phone: 860-316-7437
  • Fax:
Mailing address:
  • Phone: 860-316-7437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA ARESCO
Title or Position: FOUNDER/BCBA
Credential: M.S, BCBA, LBA
Phone: 860-316-7437