Provider Demographics
NPI:1437645041
Name:BRIGHT STARS BEHAVIOR SERVICES INC
Entity Type:Organization
Organization Name:BRIGHT STARS BEHAVIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CRIBEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-620-1660
Mailing Address - Street 1:614 SE 47TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-5567
Mailing Address - Country:US
Mailing Address - Phone:786-620-1660
Mailing Address - Fax:
Practice Address - Street 1:614 SE 47TH ST APT 3
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-5567
Practice Address - Country:US
Practice Address - Phone:786-620-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty