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Organization
BRIGHT ACT BEHAVIORAL CENTER LLC
Active
Organization
BRIGHT ACT BEHAVIORAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY N WAITHANJI (OWNER: MANAGING DIRECTOR)
(508) 524-0323
Entity
Organization
Contact information
Practice address
100 GROVE ST STE 217C, WORCESTER, MA 01605-2647
(774) 431-0272
(949) 862-8636
Mailing address
36 PIONEER LN, AUBURN, MA 01501-1848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
NULL
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
01/24/2023
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