Brightleaf Behavioral Support

Behavior Analyst · Gardner, MA

Organization Active NPI

NPI number 1609731579

Practice location

121 Monadnock St
Gardner, MA 01440-2103
Phone
(774) 386-4659

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NPI record

NPI
1609731579
Entity type
Organization (Type 2)
Enumeration date
December 22, 2025
Last updated
December 30, 2025
Certified
December 30, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Samantha Haskins, BCBA
Title
Executive Clinical Director
Phone
(802) 782-6562

About Brightleaf Behavioral Support

Brightleaf Behavioral Support is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 121 Monadnock St, Gardner, MA 01440-2103. The NPI number 1609731579 was assigned on December 22, 2025 and the record was last updated on December 30, 2025.

The authorized official for this organization is Samantha Haskins, BCBA, Executive Clinical Director.

Frequently asked questions

What is the NPI number of Brightleaf Behavioral Support?

The NPI number is 1609731579.

What is the phone number of Brightleaf Behavioral Support?

The phone number listed for the practice location is (774) 386-4659.

Where is Brightleaf Behavioral Support located?

121 Monadnock St, Gardner, MA 01440-2103.

What is the taxonomy code for Brightleaf Behavioral Support?

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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