Healthcare Provider Details

I. General information

NPI: 1407704950
Provider Name (Legal Business Name): BRIGHTLY ABA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7451 RIVIERA BLVD
MIRAMAR FL
33023-6530
US

IV. Provider business mailing address

7451 RIVIERA BLVD
MIRAMAR FL
33023-6530
US

V. Phone/Fax

Practice location:
  • Phone: 973-337-9457
  • Fax: 973-337-9457
Mailing address:
  • Phone: 973-337-9457
  • 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: OLIANYS LEMUS DOMINGUEZ
Title or Position: BCBA
Credential:
Phone: 973-337-9457