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Organization
BRIGHTSIDE ABA AZ LLC
Active
Organization
BRIGHTSIDE ABA AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER KULEFSKY (COO)
(877) 276-0626
Entity
Organization
Contact information
Practice address
2 N CENTRAL AVE STE 1800, PHOENIX, AZ 85004-2139
(877) 276-0626
Mailing address
46 WASHINGTON AVE STE 1, SUFFERN, NY 10901-5608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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