Provider Demographics
NPI:1629717871
Name:BRIGHTER HORIZONS LLC
Entity Type:Organization
Organization Name:BRIGHTER HORIZONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:KAYLIN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA, MS
Authorized Official - Phone:405-830-1210
Mailing Address - Street 1:7842 LINDSAY LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-2461
Mailing Address - Country:US
Mailing Address - Phone:405-830-1210
Mailing Address - Fax:
Practice Address - Street 1:7842 LINDSAY LN
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73025-2461
Practice Address - Country:US
Practice Address - Phone:405-830-1210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK12152413Medicaid