Provider Demographics
NPI:1073304713
Name:BRIGHTSPARKS AUTISM LLC
Entity type:Organization
Organization Name:BRIGHTSPARKS AUTISM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:GIOVANNY
Authorized Official - Last Name:TORRES COLON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:210-931-5943
Mailing Address - Street 1:21750 HARDY OAK BLVD
Mailing Address - Street 2:STE 104 PMB 907212
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-931-2593
Mailing Address - Fax:
Practice Address - Street 1:11439 UNBRIDLED
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-3818
Practice Address - Country:US
Practice Address - Phone:210-931-5943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty