=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851061972
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRIGHT START BEHAVIORAL CONSULTING INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2021
-----------------------------------------------------
Last Update Date | 05/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11020 NW 18TH MNR
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33322-3446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-937-2129
-----------------------------------------------------
Fax | 954-333-2220
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11020 NW 18TH MNR
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33322-3446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-937-2129
-----------------------------------------------------
Fax | 954-333-2220
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SAHAR DAHSHEH
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 954-937-2129
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------