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Organization
SHINE BRIGHT NETWORK LLC
Active
Organization
SHINE BRIGHT NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY MEZA (EXECUTIVE DIRECTOR)
(909) 647-3828
Entity
Organization
Contact information
Practice address
27076 CYPRESS ST, HIGHLAND, CA 92346-3662
(909) 647-3828
Mailing address
27076 CYPRESS ST, HIGHLAND, CA 92346-3662
(909) 647-3828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
01/31/2020
Last updated
01/26/2021
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