Healthcare Provider Details

I. General information

NPI: 1548172661
Provider Name (Legal Business Name): BRIGHT GROVE ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 FOUNDRY ST FL 2
CONCORD NH
03301-5419
US

IV. Provider business mailing address

11 HARVEST CT
LAKEWOOD NJ
08701-4108
US

V. Phone/Fax

Practice location:
  • Phone: 732-841-6091
  • Fax:
Mailing address:
  • Phone: 732-841-6091
  • 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: RIVKA HOCH
Title or Position: OWNER
Credential:
Phone: 732-841-6091