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NPI 1629717871

NPI 1629717871 : BRIGHTER HORIZONS LLC : EDMOND, OK

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General NPI Number Information
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    NPI Number           |    1629717871
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIGHTER HORIZONS LLC 
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Dates
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    Enumeration Date     |    06/03/2022
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    Last Update Date     |    06/03/2022
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Provider Practice Location Address
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    Address Line         |    7842 LINDSAY LN 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73025-2461
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    Country              |    US
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    Telephone            |    405-830-1210
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7842 LINDSAY LN 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73025-2461
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    Country              |    US
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    Telephone            |    405-830-1210
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/BCBA
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    Name                 |     KAYLIN NICOLE KING 
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    Credential           |    BCBA, LBA, MS
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    Telephone            |    405-830-1210
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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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