Healthcare Provider Details

I. General information

NPI: 1851185672
Provider Name (Legal Business Name): BRIGHT BEHAVIOR LICENSED BEHAVIOR ANALYSTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4514 251ST ST STE 144
LITTLE NECK NY
11362-1339
US

IV. Provider business mailing address

4514 251ST ST STE 144
LITTLE NECK NY
11362-1339
US

V. Phone/Fax

Practice location:
  • Phone: 631-521-5551
  • Fax:
Mailing address:
  • Phone: 631-521-5551
  • 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: MAUREEN O'GRADY
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 621-521-5551