MEDICARE: BRIGHT START ABA SERVICES 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588313860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT START ABA SERVICES INC

Provider Business Mailing Address
First Line	:	7231 LITTLE RD STE E
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5517
Country	:	US
Telephone Number	:	786-315-8971
Fax Number	:

Provider Business Practice Location Address
First Line	:	7231 LITTLE RD STE E
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5517
Country	:	US
Telephone Number	:	786-315-8971
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	MARICEL PAZ VINA
Credential	:
Telephone Number	:	786-315-8971

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	12/22/2024

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Directions to “BRIGHT START ABA SERVICES INC ” Practice Location

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