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General NPI Number Information
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NPI Number | 1073304713
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Entity Type | Organization
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Legal Business Name | BRIGHTSPARKS AUTISM LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 11439 UNBRIDLED
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City | SAN ANTONIO
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State | TX
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Zip | 78245-3818
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Country | US
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Telephone | 210-931-5943
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Fax |
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Provider Business Mailing Address
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Address Line | 21750 HARDY OAK BLVD STE 104 PMB 907212
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-931-2593
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ARNALDO GIOVANNY TORRES COLON
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Credential | MA, BCBA
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Telephone | 210-931-5943
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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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