Organization · NPI-2

Bright Mind Therapy

Behavior Analyst · Dearborn Heights, MI

NPI number1629759097
StatusActive
Last updated in NPPESAug 3, 2023

Details

NPI
1629759097
Entity type
Organization (NPI-2)
Legal business name
Bright Mind Therapy
Organization subpart
No
Enumeration date
Jul 28, 2023
Certification date
Aug 3, 2023
Last updated
Aug 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106E00000X Assistant Behavior Analyst––

Practice location

26439 Sims St
Dearborn Heights, MI 48127-4129

Phone 313-888-6188

Mailing address

26439 Sims St
Dearborn Heights, MI 48127-4129

Phone 313-888-6188

Authorized official

Hassan Mazloum
Owner
3138886188

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