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General NPI Number Information
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NPI Number | 1164337069
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Entity Type | Organization
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Legal Business Name | BRIGHT HARBOR SERVICE, LLC D/B/A ABLE AUTISM THERAPY SERVICES
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 8010 ROSWELL RD STE 100&103
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-7024
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Country | US
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Telephone | 470-281-2363
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Fax | 470-239-2747
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Provider Business Mailing Address
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Address Line | 8010 ROSWELL RD STE 100&103
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-7024
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Country | US
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Telephone | 470-281-2363
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Fax | 470-239-2747
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Authorized Official
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Title or Position | CEO
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Name | MR. SANDEEP KANAWADE
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Credential |
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Telephone | 954-706-7676
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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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