Provider Demographics
NPI:1982366761
Name:BRIGHTER DAYS WELLNESS & BEHAVIOR ANALYSIS INC
Entity Type:Organization
Organization Name:BRIGHTER DAYS WELLNESS & BEHAVIOR ANALYSIS INC
Other - Org Name:BRIGHTER DAYS WBA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:PATE
Authorized Official - Suffix:JR
Authorized Official - Credentials:BCBA
Authorized Official - Phone:580-372-6572
Mailing Address - Street 1:432057 STATE HIGHWAY 3
Mailing Address - Street 2:
Mailing Address - City:FORT TOWSON
Mailing Address - State:OK
Mailing Address - Zip Code:74735-7506
Mailing Address - Country:US
Mailing Address - Phone:580-372-6572
Mailing Address - Fax:
Practice Address - Street 1:1402 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ANTLERS
Practice Address - State:OK
Practice Address - Zip Code:74523-2059
Practice Address - Country:US
Practice Address - Phone:580-209-6111
Practice Address - Fax:580-209-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-09
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty