Healthcare Provider Details

I. General information

NPI: 1033071709
Provider Name (Legal Business Name): BRIGHTER STRIDES ABA ME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CONGRESS ST
PORTLAND ME
04101-3515
US

IV. Provider business mailing address

3600 STATE ROUTE 66 STE 150
NEPTUNE NJ
07753-2645
US

V. Phone/Fax

Practice location:
  • Phone: 732-806-0257
  • Fax:
Mailing address:
  • Phone: 732-806-0257
  • Fax: 732-806-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. TODD UNGAR
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 732-806-0257