# BRIGHT ACT BEHAVIORAL CENTER LLC

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

## Provider details

- **NPI number:** 1568120343
- **Authorized official:** ANTHONY N WAITHANJI (OWNER: MANAGING DIRECTOR)
- **Authorized official phone:** (508) 524-0323

## Contact information

- **Practice address:** 100 GROVE ST STE 217C, WORCESTER, MA 01605-2647
- **Practice address phone:** (774) 431-0272
- **Practice address fax:** (949) 862-8636
- **Mailing address:** 36 PIONEER LN, AUBURN, MA 01501-1848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 01/24/2023
