Healthcare Provider Details

I. General information

NPI: 1831009240
Provider Name (Legal Business Name): BRIGHT SUPPORT GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2450 HOLLYWOOD BLVD STE 100
HOLLYWOOD FL
33020-6616
US

IV. Provider business mailing address

2450 HOLLYWOOD BLVD STE 100
HOLLYWOOD FL
33020-6616
US

V. Phone/Fax

Practice location:
  • Phone: 954-294-6770
  • 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: ORLY LEVI
Title or Position: OWNER
Credential:
Phone: 954-294-6770