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General NPI Number Information
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NPI Number | 1194688655
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Entity Type | Organization
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Legal Business Name | BRIGHT BUILDERS ABA IA LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3106 INGERSOLL AVE
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City | DES MOINES
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State | IA
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Zip | 50312-3910
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Country | US
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Telephone | 833-522-1868
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Fax |
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Provider Business Mailing Address
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Address Line | 32 CROSS ST STE 204
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5572
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Country | US
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Telephone | 848-500-1575
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Fax | 848-500-1575
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAVID PRESSBURGER
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Credential |
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Telephone | 848-500-1575
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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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