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Organization
BRIGHTENING HORIZONS
Active
Organization
BRIGHTENING HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON WAGNER PHD (PSYCHOLOGIST)
(508) 990-1620
Entity
Organization
Contact information
Practice address
427 COUNTY ST, 2ND FLOOR, NEW BEDFORD, MA 02740-5001
(508) 990-1620
(508) 990-8118
Mailing address
427 COUNTY ST, 2ND FLOOR, NEW BEDFORD, MA 02740-5001
(508) 990-1620
(508) 990-8118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2018
MA
103K00000X
Behavior Analyst
1-12-10449
MA
103T00000X
Psychologist
4917
MA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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