Healthcare Provider Details
I. General information
NPI: 1114847803
Provider Name (Legal Business Name): BRIGHT FUTURE ABA SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1860 SW FOUNTAINVIEW BLVD STE 100 OFFICE 12
PORT SAINT LUCIE FL
34986-4528
US
IV. Provider business mailing address
1860 SW FOUNTAINVIEW BLVD STE 100
PORT SAINT LUCIE FL
34986-4528
US
V. Phone/Fax
- Phone: 772-202-2494
- Fax: 561-377-3650
- Phone: 772-202-2494
- Fax: 561-377-3650
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
INGRID
AKINDURO
Title or Position: CEO
Credential: MA, BCBA, LBA
Phone: 954-934-2699