Provider Demographics
NPI:1124709423
Name:BRIGHT THERAPY SERVICES
Entity type:Organization
Organization Name:BRIGHT THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAIMUNDO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-307-5089
Mailing Address - Street 1:20721 SW 116TH RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1039
Mailing Address - Country:US
Mailing Address - Phone:786-307-5089
Mailing Address - Fax:
Practice Address - Street 1:5180 WESTERN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76137-2144
Practice Address - Country:US
Practice Address - Phone:828-885-9836
Practice Address - Fax:682-390-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty