Organization · NPI-2

Bright Life Aba MD

Behavior Analyst · Bowie, MD

NPI number1609758499
StatusActive
Last updated in NPPESJul 23, 2025

Details

NPI
1609758499
Entity type
Organization (NPI-2)
Legal business name
Bright Life Aba MD
Organization subpart
No
Enumeration date
Jul 23, 2025
Certification date
Jul 22, 2025
Last updated
Jul 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Phone 443-219-7537

Mailing address

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Authorized official

Reuven Lieberman
Ceo
4432197537

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