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General NPI Number Information
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NPI Number | 1912807652
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Entity Type | Organization
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Legal Business Name | BRIGHT FAMILY PEDIATRICS ABA CENTER
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 1099 W MEMORIAL DR
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City | DALLAS
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State | GA
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Zip | 30132-3437
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Country | US
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Telephone | 770-672-6293
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Fax |
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Provider Business Mailing Address
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Address Line | 1099 W MEMORIAL DR
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City | DALLAS
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State | GA
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Zip | 30132-3437
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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 | JEROMY SAVAGE
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Credential |
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Telephone | 414-550-1484
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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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