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NPI 1033071709

NPI 1033071709 : BRIGHTER STRIDES ABA ME LLC : PORTLAND, ME

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General NPI Number Information
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    NPI Number           |    1033071709
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIGHTER STRIDES ABA ME LLC 
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Dates
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    Enumeration Date     |    12/01/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    400 CONGRESS ST 
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04101-3515
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    Country              |    US
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    Telephone            |    732-806-0257
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3600 STATE ROUTE 66 STE 150 
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    City                 |    NEPTUNE
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    State                |    NJ
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    Zip                  |    07753-2645
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    Country              |    US
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    Telephone            |    732-806-0257
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    Fax                  |    732-806-0257
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Authorized Official
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    Title or Position    |    CREDENTIALING SPECIALIST
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    Name                 |    MR. TODD  UNGAR 
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    Credential           |    
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    Telephone            |    732-806-0257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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