MEDICARE: BRIGHT ABA CARE CENTER LLC

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	:	1356272587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT ABA CARE CENTER LLC

Provider Business Mailing Address
First Line	:	1411 COLLEGIATE CIRRALEIGH, NC
Second Line	:	303 APART
City	:	RALEIGH
State	:	NC
Zip	:	27606
Country	:	US
Telephone Number	:	845-464-2798
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 COLLEGIATE CIRRALEIGH, NC
Second Line	:	303 APART
City	:	RALEIGH
State	:	NC
Zip	:	27606
Country	:	US
Telephone Number	:	845-464-2798
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER-CLINICAL DIRECTOR
Name	:	MR. MAHMOUD IBRAHIM ALI SHEHATA SR.
Credential	:	MS , BCBA , LBA
Telephone Number	:	845-464-2798

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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