Provider Demographics
NPI:1699487157
Name:BRIGHT LIFE BEHAVIORAL SOLUTIONS
Entity type:Organization
Organization Name:BRIGHT LIFE BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIZA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, NCC, BCBA
Authorized Official - Phone:305-280-1733
Mailing Address - Street 1:8004 NW 154TH ST # 180
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5814
Mailing Address - Country:US
Mailing Address - Phone:305-280-1733
Mailing Address - Fax:
Practice Address - Street 1:7802 NW 164TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-8412
Practice Address - Country:US
Practice Address - Phone:305-280-1733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty