Provider Demographics
NPI:1124584362
Name:BRIGHT BEGINNINGS LICENSED BEHAVIOR ANALYST
Entity Type:Organization
Organization Name:BRIGHT BEGINNINGS LICENSED BEHAVIOR ANALYST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:TZIPI
Authorized Official - Middle Name:
Authorized Official - Last Name:HANINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-564-3539
Mailing Address - Street 1:672 DOGWOOD AVE STE 197
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:672 DOGWOOD AVE STE 197
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3247
Practice Address - Country:US
Practice Address - Phone:516-564-3539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty