Healthcare Provider Details

I. General information

NPI: 1508790221
Provider Name (Legal Business Name): BRIGHT PATH ABA CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4464 BROMLEY AVE
SPRING HILL FL
34609-1703
US

IV. Provider business mailing address

4464 BROMLEY AVE
SPRING HILL FL
34609-1703
US

V. Phone/Fax

Practice location:
  • Phone: 813-817-9295
  • Fax:
Mailing address:
  • Phone: 813-817-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MAYRELA HERNANDEZ MARTINEZ
Title or Position: OWNER
Credential: MSW,
Phone: 813-817-9295