| Bright Behavior Therapy Llc | |
|
23500 Park St Ste 3 Dearborn MI 48124-2598 | |
| (313) 645-2422 | |
| Not Available |
| Full Name | Bright Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 23500 Park St Ste 3, Dearborn, Michigan |
| Authorized Official Name and Position | Sonia Salman (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3136452422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Behavior Therapy Llc 27247 Kingswood Dr Dearborn Heights MI 48127-3361 Ph: () - | Bright Behavior Therapy Llc 23500 Park St Ste 3 Dearborn MI 48124-2598 Ph: (313) 645-2422 |
| NPI Number | 1730609751 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Medicare PECOS PAC ID | 5193111524 |
|---|---|
| Medicare Enrollment ID | O20220411002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730609751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | Aubyn Sinclair Herbison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225730484 PECOS PAC ID: 1456719889 Enrollment ID: I20231204002493 |
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