Provider Demographics
NPI:1427867506
Name:SHINING BRIGHT
Entity type:Organization
Organization Name:SHINING BRIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BEHAVIOR SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOYER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LBS
Authorized Official - Phone:215-939-0966
Mailing Address - Street 1:1275 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1003
Mailing Address - Country:US
Mailing Address - Phone:215-939-0966
Mailing Address - Fax:
Practice Address - Street 1:333 N OXFORD VALLEY RD STE 405
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2627
Practice Address - Country:US
Practice Address - Phone:215-939-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty