# BRIGHT PATHS BEHAVIORAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bright Paths Behavioral Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528793189
- **Authorized official:** MELISSA MOCK (BCBA)
- **Authorized official phone:** (631) 901-3711

## Contact information

- **Practice address:** 11747 JEFFERSON AVE STE 3H, NEWPORT NEWS, VA 23606-4403
- **Practice address phone:** (631) 901-3711
- **Mailing address:** 3236 ST JAMES PARK, WILLIAMSBURG, VA 23188-1467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 01/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1841842564 | TRICARE | VA |