Brightway Behavior LLC
Early Intervention Provider Agency in Denver, CO. Organization (NPI-2).
NPI number1679463558
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1679463558
- Entity type
- Organization (NPI-2)
- Legal business name
- Brightway Behavior LLC
- Organization subpart
- No
- Enumeration date
- Jul 3, 2025
- Certification date
- Jun 12, 2025
- Last updated
- Jul 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
878 S Lipan St Unit CDenver, CO 80223-2770
Phone 720-999-2993
Mailing address
878 S Lipan St Unit CDenver, CO 80223-2770
Authorized official
Khadar Mohamed
Manager
7209992993
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