Healthcare Provider Details

I. General information

NPI: 1770425530
Provider Name (Legal Business Name): BRIGHTBRIDGE ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13133 46TH CT N
WEST PALM BEACH FL
33411-8426
US

IV. Provider business mailing address

13133 46TH CT N
WEST PALM BEACH FL
33411-8426
US

V. Phone/Fax

Practice location:
  • Phone: 561-618-5366
  • Fax:
Mailing address:
  • Phone: 561-618-5366
  • 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: CESAR L CARO RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 561-618-5366