Healthcare Provider Details

I. General information

NPI: 1386556769
Provider Name (Legal Business Name): BRIGHTPATH AUTISM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 SHEFFIELD MANOR TER
SILVER SPRING MD
20904-7264
US

IV. Provider business mailing address

3501 SHEFFIELD MANOR TER
SILVER SPRING MD
20904-7264
US

V. Phone/Fax

Practice location:
  • Phone: --
  • 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

VIII. Authorized Official

Name: ALEXANDER RUTERE
Title or Position: OWNER
Credential:
Phone: 302-306-4395