| Bright Start Aba LLC | |
|
7 Post Office Rd Ste M Waldorf MD 20602-2744 | |
| (504) 289-3597 | |
| Not Available |
| Full Name | Bright Start Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7 Post Office Rd Ste M, Waldorf, Maryland |
| Authorized Official Name and Position | Omar Judeh (FOUNDER) |
| Authorized Official Contact | 5042893597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Start Aba LLC 9310 Rollingwood Dr Pomfret MD 20675-3125 Ph: (504) 289-3597 | Bright Start Aba LLC 7 Post Office Rd Ste M Waldorf MD 20602-2744 Ph: (504) 289-3597 |
| NPI Number | 1124733688 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124733688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 103K00000X | Behavior Analyst | () | Primary |
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