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NPI Code Detail

MEDICARE: BRIGHTVIEW CARE LLC

MEDICARE: BRIGHTVIEW CARE 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1821838962
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTVIEW CARE LLC
Provider Business Mailing Address
First Line : 20700 CIVIC CENTER DR
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-4140
Country : US
Telephone Number : 888-308-0488
Fax Number : 248-997-4990
Provider Business Practice Location Address
First Line : 20700 CIVIC CENTER DR STE 110
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-4102
Country : US
Telephone Number : 888-308-0488
Fax Number : 248-997-4990
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. CHRISTOPHER SHEENA
Credential :
Telephone Number : 248-755-6424
Provider Enumeration Date : 05/28/2024
Last Update Date : 05/28/2024

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Directions to “BRIGHTVIEW CARE LLC ” Practice Location

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