MEDICARE: BRIGHT STARS ABA 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	:	1659953875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT STARS ABA INC.

Provider Business Mailing Address
First Line	:	1151 SW 30TH ST STE D
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2985
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 SW 30TH ST STE D
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2985
Country	:	US
Telephone Number	:	786-600-9748
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	YAEL ROSENBERG
Credential	:
Telephone Number	:	786-600-9748

Provider Enumeration Date	:	04/27/2021
Last Update Date	:	12/20/2023

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Directions to “BRIGHT STARS ABA INC. ” Practice Location

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