Provider Demographics
NPI:1700205333
Name:ABA BRIGHT FUTURE INC
Entity Type:Organization
Organization Name:ABA BRIGHT FUTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBUERNE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-299-4103
Mailing Address - Street 1:10720 CARIBBEAN BLVD STE 425
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1245
Mailing Address - Country:US
Mailing Address - Phone:786-732-2905
Mailing Address - Fax:
Practice Address - Street 1:10720 CARIBBEAN BLVD STE 425
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1245
Practice Address - Country:US
Practice Address - Phone:786-732-2905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11210044251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health