Healthcare Provider Details

I. General information

NPI: 1780218719
Provider Name (Legal Business Name): BRIGHTER STRIDES ABA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PERRY PKWY STE 3
GAITHERSBURG MD
20877-2140
US

IV. Provider business mailing address

201 PERRY PKWY STE 3
GAITHERSBURG MD
20877-2140
US

V. Phone/Fax

Practice location:
  • Phone: 410-609-6357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: LEAH KURTZ
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 410-609-6357