| Bright Start Early Intervention, Llc | |
|
121 1/2 North Main Street Henderson KY 42419-0066 | |
| (270) 860-9594 | |
| (270) 458-0022 |
| Full Name | Bright Start Early Intervention, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 121 1/2 North Main Street, Henderson, Kentucky |
| Authorized Official Name and Position | Erica Caitlin Conley (LISCENSED BEHAVIOR ANALYSIS IN KY) |
| Authorized Official Contact | 2708609594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Start Early Intervention, Llc Po Box 66 Henderson KY 42419-0066 Ph: (270) 860-9594 | Bright Start Early Intervention, Llc 121 1/2 North Main Street Henderson KY 42419-0066 Ph: (270) 860-9594 |
| NPI Number | 1215316807 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215316807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1004 (Kentucky) | Primary |
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