| Brightside Aba NC LLC | |
|
19109 W Catawba Ave Ste 200 Cornelius NC 28031-5614 | |
| (877) 276-0626 | |
| Not Available |
| Full Name | Brightside Aba NC LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19109 W Catawba Ave Ste 200, Cornelius, North Carolina |
| Authorized Official Name and Position | Eliyahu Konovitch (CEO) |
| Authorized Official Contact | 8772760626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Aba NC LLC 46 Washington Ave Ste 1 Suffern NY 10901-5608 | Brightside Aba NC LLC 19109 W Catawba Ave Ste 200 Cornelius NC 28031-5614 Ph: (877) 276-0626 |
| NPI Number | 1003656612 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003656612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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