Provider Demographics
NPI:1417294901
Name:BRIGHT FUTURES EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:BRIGHT FUTURES EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATIONAL PSYCHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ZOLEZIO
Authorized Official - Suffix:
Authorized Official - Credentials:LEP
Authorized Official - Phone:909-395-6708
Mailing Address - Street 1:154 W FOOTHILL BLVD STE A
Mailing Address - Street 2:SUITE 260
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-8702
Mailing Address - Country:US
Mailing Address - Phone:909-297-8464
Mailing Address - Fax:909-982-0491
Practice Address - Street 1:295 N GAREY AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5429
Practice Address - Country:US
Practice Address - Phone:909-297-8464
Practice Address - Fax:909-982-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3337101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty