Organization · NPI-2

Bright Start Aba LLC

Behavior Analyst · Waldorf, MD

NPI number1124733688
StatusActive
Last updated in NPPESSep 15, 2023

Details

NPI
1124733688
Entity type
Organization (NPI-2)
Legal business name
Bright Start Aba LLC
Organization subpart
No
Enumeration date
Jan 19, 2023
Certification date
Sep 15, 2023
Last updated
Sep 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
261Q00000X Clinic/Center––

Practice location

7 Post Office Rd Ste M
Waldorf, MD 20602-2744

Phone 504-289-3597

Mailing address

9310 Rollingwood Dr
Pomfret, MD 20675-3125

Phone 504-289-3597

Authorized official

Omar Judeh
Founder
5042893597

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