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NPI Code Detail

MEDICARE: BRIGHT THERAPY SERVICES

MEDICARE: BRIGHT THERAPY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1124709423
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT THERAPY SERVICES
Provider Business Mailing Address
First Line : 20721 SW 116TH RD
Second Line :
City : MIAMI
State : FL
Zip : 33189-1039
Country : US
Telephone Number : 786-307-5089
Fax Number :
Provider Business Practice Location Address
First Line : 5180 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2144
Country : US
Telephone Number : 828-885-9836
Fax Number : 682-390-3123
Authorized Official
Title or Position : OWNER
Name : MARCIA RAIMUNDO
Credential : BCBA
Telephone Number : 786-307-5089
Provider Enumeration Date : 07/28/2023
Last Update Date : 04/04/2025

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Directions to “BRIGHT THERAPY SERVICES ” Practice Location

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