Healthcare Provider Details

I. General information

NPI: 1437027463
Provider Name (Legal Business Name): BRIGHT MINDS ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 NAVAHO DR STE 150
RALEIGH NC
27609-7377
US

IV. Provider business mailing address

1325 LEGACY GREENE AVE
WAKE FOREST NC
27587-4344
US

V. Phone/Fax

Practice location:
  • Phone: 919-438-3438
  • Fax: 984-370-6535
Mailing address:
  • Phone: 423-827-8795
  • 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: MRS. HANNA TUZOVA
Title or Position: OWNER
Credential: MA, BCBA
Phone: 423-883-9982