| Bright Path Pediatric Center, Llc | |
|
1860 Sw Fountainview Blvd Ste 37 Port Saint Lucie FL 34986-4535 | |
| (561) 371-1475 | |
| (772) 200-4373 |
| Full Name | Bright Path Pediatric Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1860 Sw Fountainview Blvd Ste 37, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Michelle Reyes (OWNER) |
| Authorized Official Contact | 5613711475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Path Pediatric Center, Llc 1860 Sw Fountainview Blvd Ste 37 Port Saint Lucie FL 34986-4535 Ph: (561) 371-1475 | Bright Path Pediatric Center, Llc 1860 Sw Fountainview Blvd Ste 37 Port Saint Lucie FL 34986-4535 Ph: (561) 371-1475 |
| NPI Number | 1619857851 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619857851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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