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General NPI Number Information
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NPI Number | 1689552325
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Entity Type | Organization
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Legal Business Name | BRIGHTER PATH BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 12968 SW 133RD CT
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City | MIAMI
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State | FL
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Zip | 33186-5806
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Country | US
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Telephone | 786-701-9079
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Fax |
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Provider Business Mailing Address
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Address Line | 18640 SW 291ST ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-3055
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARLON HERNANDEZ
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Credential |
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Telephone | 786-516-5257
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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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