| Bright Path Lba Llc | |
|
4539 N 22nd St Ste R Phoenix AZ 85016-4639 | |
| (718) 650-7894 | |
| Not Available |
| Full Name | Bright Path Lba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4539 N 22nd St Ste R, Phoenix, Arizona |
| Authorized Official Name and Position | Mordechai Leifer (OWNER) |
| Authorized Official Contact | 6469396966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Path Lba Llc 4539 N 22nd St Ste R Phoenix AZ 85016-4639 Ph: () - | Bright Path Lba Llc 4539 N 22nd St Ste R Phoenix AZ 85016-4639 Ph: (718) 650-7894 |
| NPI Number | 1285504670 |
|---|---|
| Provider Enumeration Date | 11/10/2025 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285504670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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