Provider Demographics
NPI:1609294206
Name:BRIGHTENING HORIZONS AUTISM TREATMENT CENTER
Entity Type:Organization
Organization Name:BRIGHTENING HORIZONS AUTISM TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUSA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA,LMHC
Authorized Official - Phone:508-264-0628
Mailing Address - Street 1:427 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-5001
Mailing Address - Country:US
Mailing Address - Phone:508-999-1620
Mailing Address - Fax:
Practice Address - Street 1:427 COUNTY ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-5001
Practice Address - Country:US
Practice Address - Phone:508-999-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-12-10449251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health