Brightside Behavioral Center Inc

Behavior Analyst · Oviedo, FL

Organization Active NPI

NPI number 1255050357

Practice location

1750 W Broadway St Ste 120
Oviedo, FL 32765-9618
Phone
(786) 715-3175

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NPI record

NPI
1255050357
Entity type
Organization (Type 2)
Enumeration date
August 23, 2022
Last updated
October 12, 2022
Certified
October 12, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

11037 Siting Pl
Orlando, FL 32825-7227
Phone
(786) 715-3175

Authorized official

Name
Anniet Jorge Gomez
Title
Administrator
Phone
(913) 952-4162

Other names

  • Brightside Behavioral Center Inc

About Brightside Behavioral Center Inc

Brightside Behavioral Center Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1750 W Broadway St Ste 120, Oviedo, FL 32765-9618. The NPI number 1255050357 was assigned on August 23, 2022 and the record was last updated on October 12, 2022.

The authorized official for this organization is Anniet Jorge Gomez, Administrator.

Frequently asked questions

What is the NPI number of Brightside Behavioral Center Inc?

The NPI number is 1255050357.

What is the phone number of Brightside Behavioral Center Inc?

The phone number listed for the practice location is (786) 715-3175.

Where is Brightside Behavioral Center Inc located?

1750 W Broadway St Ste 120, Oviedo, FL 32765-9618.

What is the taxonomy code for Brightside Behavioral Center Inc?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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