Provider Demographics
NPI:1518308857
Name:A BRIGHT START TO A SHINING FUTURE
Entity Type:Organization
Organization Name:A BRIGHT START TO A SHINING FUTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-788-0445
Mailing Address - Street 1:14 VENUS DR
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-2316
Mailing Address - Country:US
Mailing Address - Phone:201-788-0445
Mailing Address - Fax:
Practice Address - Street 1:14 VENUS DR
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-2316
Practice Address - Country:US
Practice Address - Phone:201-788-0445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
46TR00371600OtherNPI
1235429465OtherNPI
40QA01080200OtherNPI
46TR003667COtherNPI