Healthcare Provider Details

I. General information

NPI: 1750185294
Provider Name (Legal Business Name): BRIGHT BRANCH ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 W SUNSET DR
ORANGE TX
77630-3211
US

IV. Provider business mailing address

2411 W SUNSET DR
ORANGE TX
77630-3211
US

V. Phone/Fax

Practice location:
  • Phone: 903-824-5556
  • Fax:
Mailing address:
  • Phone: 903-824-5556
  • 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: MR. HALEE M ANTHONY
Title or Position: OWNER
Credential: BCBA
Phone: 903-824-6645