Healthcare Provider Details

I. General information

NPI: 1477469450
Provider Name (Legal Business Name): BRIGHTSTEPS PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 ELM ST FL 1
MARLBOROUGH MA
01752-1150
US

IV. Provider business mailing address

114 ELM ST FL 1
MARLBOROUGH MA
01752-1150
US

V. Phone/Fax

Practice location:
  • Phone: 646-934-5801
  • Fax: 646-934-5801
Mailing address:
  • Phone: 646-934-5801
  • Fax: 646-934-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MARIA PALMAR
Title or Position: OWNER
Credential:
Phone: 646-934-5801