Healthcare Provider Details

I. General information

NPI: 1538566385
Provider Name (Legal Business Name): BRIGHT THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 NW 6TH ST
HOMESTEAD FL
33030-5934
US

IV. Provider business mailing address

70 NW 6TH ST
HOMESTEAD FL
33030-5934
US

V. Phone/Fax

Practice location:
  • Phone: 786-410-8922
  • Fax: 786-504-8140
Mailing address:
  • Phone: 786-410-8922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DAYANI AGUIRRE
Title or Position: OWNER
Credential: MS. CCC/SLP
Phone: 786-410-8922