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General NPI Number Information
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NPI Number | 1700731635
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Entity Type | Organization
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Legal Business Name | BRIGHTSTAR ABA, INC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 6303 OWENSMOUTH AVE FL 10
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2262
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Country | US
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Telephone | 818-568-6448
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Fax |
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Provider Business Mailing Address
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Address Line | 6303 OWENSMOUTH AVE FL 10
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2262
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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 | VICE PRESIDENT
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Name | GEVORG YANUKYAN
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Credential |
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Telephone | 818-568-6448
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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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