# SHINE BRIGHT NETWORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063043644
- **Authorized official:** DAISY MEZA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (909) 647-3828

## Contact information

- **Practice address:** 27076 CYPRESS ST, HIGHLAND, CA 92346-3662
- **Practice address phone:** (909) 647-3828
- **Mailing address:** 27076 CYPRESS ST, HIGHLAND, CA 92346-3662
- **Mailing address phone:** (909) 647-3828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 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
