Provider Demographics
NPI:1336991280
Name:BRIGHT BEGINNING THERAPY LLC
Entity Type:Organization
Organization Name:BRIGHT BEGINNING THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:FIDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLE YARANDI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-645-6256
Mailing Address - Street 1:506 SE 47TH TER STE B
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-8593
Mailing Address - Country:US
Mailing Address - Phone:305-645-6256
Mailing Address - Fax:
Practice Address - Street 1:506 SE 47TH TER STE B
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-8593
Practice Address - Country:US
Practice Address - Phone:305-645-6256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty