MEDICARE: BRIGHTWAYS BEHAVIORAL SOLUTIONS INC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1295619765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTWAYS BEHAVIORAL SOLUTIONS INC

Provider Business Mailing Address
First Line	:	2900 GLADES CIR STE 375
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-2268
Country	:	US
Telephone Number	:	786-772-1577
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 GLADES CIR STE 375
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-2268
Country	:	US
Telephone Number	:	786-772-1577
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HANALALLY DEL SOL PADRON
Credential	:	BCBA
Telephone Number	:	786-772-1577

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	05/12/2026

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