| Shining Bright, Llc | |
|
9907 County Road 8530 West Plains MO 65775-4524 | |
| (573) 701-3312 | |
| Not Available |
| Full Name | Shining Bright, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9907 County Road 8530, West Plains, Missouri |
| Authorized Official Name and Position | Ashley Deimund (OWNER) |
| Authorized Official Contact | 5737013312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Bright, Llc 9907 County Road 8530 West Plains MO 65775-4524 Ph: (573) 701-3312 | Shining Bright, Llc 9907 County Road 8530 West Plains MO 65775-4524 Ph: (573) 701-3312 |
| NPI Number | 1386410025 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386410025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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