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Organization
BRIGHTSIDE BEHAVIORAL CENTER INC
Active
Organization
BRIGHTSIDE BEHAVIORAL CENTER INC
Active
Other names
BRIGHTSIDE BEHAVIORAL CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIET JORGE GOMEZ (ADMINISTRATOR)
(913) 952-4162
Entity
Organization
Contact information
Practice address
1750 W BROADWAY ST STE 120, OVIEDO, FL 32765-9618
(786) 715-3175
Mailing address
11037 SITING PL, ORLANDO, FL 32825-7227
(786) 715-3175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
10/12/2022
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