Provider Demographics
NPI:1366728891
Name:BRIGHT, LINDA MARIE (MS, MA, PBSF)
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:MARIE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:MS, MA, PBSF
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Other - Middle Name:
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Mailing Address - Street 1:50 W QUEENS WAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4279
Mailing Address - Country:US
Mailing Address - Phone:757-589-1669
Mailing Address - Fax:757-499-9190
Practice Address - Street 1:5335 E VIRGINIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3408
Practice Address - Country:US
Practice Address - Phone:757-624-6500
Practice Address - Fax:757-627-8079
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0153856189Medicaid