Brightwater Behavior Analysis

Behavior Analyst · Homosassa, FL

Organization Active NPI

NPI number 1174307193

Practice location

4860 S Prices PT
Homosassa, FL 34448-3740
Phone
(352) 422-5452

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NPI record

NPI
1174307193
Entity type
Organization (Type 2)
Enumeration date
August 21, 2023
Last updated
February 17, 2024
Certified
February 17, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Assistant Behavior Analyst 106E00000X — —
Behavior Technician 106S00000X — —

Mailing address

PO Box 584
Homosassa, FL 34487-0584
Phone
(352) 422-5452

Authorized official

Name
Jared E Miller
Title
CEO
Phone
(352) 422-5452

About Brightwater Behavior Analysis

Brightwater Behavior Analysis is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4860 S Prices PT, Homosassa, FL 34448-3740. The NPI number 1174307193 was assigned on August 21, 2023 and the record was last updated on February 17, 2024.

The authorized official for this organization is Jared E Miller, CEO.

Frequently asked questions

What is the NPI number of Brightwater Behavior Analysis?

The NPI number is 1174307193.

What is the phone number of Brightwater Behavior Analysis?

The phone number listed for the practice location is (352) 422-5452.

Where is Brightwater Behavior Analysis located?

4860 S Prices PT, Homosassa, FL 34448-3740.

What is the taxonomy code for Brightwater Behavior Analysis?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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