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General NPI Number Information
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NPI Number | 1700343860
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Entity Type | Organization
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Legal Business Name | BRIGHT BEHAVIORS INC.
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 1543 KINGSLEY AVE STE 6
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City | ORANGE PARK
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State | FL
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Zip | 32073-4583
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Country | US
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Telephone | 904-305-2069
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Fax | 904-342-1430
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Provider Business Mailing Address
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Address Line | 165 SCOTLAND YARD BLVD
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City | SAINT JOHNS
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State | FL
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Zip | 32259-5913
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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 | PRESIDENT
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Name | EMILY JOHNSON
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Credential | MA, BCBA
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Telephone | 904-305-2069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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