Provider Demographics
NPI:1598485443
Name:BRIGHTER WAY ABA
Entity Type:Organization
Organization Name:BRIGHTER WAY ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SIM
Authorized Official - Middle Name:
Authorized Official - Last Name:B
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-668-9113
Mailing Address - Street 1:PO BOX 979
Mailing Address - Street 2:
Mailing Address - City:SMALLWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:12778-0979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35 EAST OAK ST
Practice Address - Street 2:
Practice Address - City:SMALLWOOD
Practice Address - State:NY
Practice Address - Zip Code:12778
Practice Address - Country:US
Practice Address - Phone:929-466-1305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty