# BRIGHTER BRAINWAVE, LLC

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

## Provider details

- **NPI number:** 1699458216
- **Authorized official:** ISIAH ANDREW GRAY (OWNER/RBT)
- **Authorized official phone:** (989) 553-0082

## Contact information

- **Practice address:** 1121 AUSTIN BLUFFS PKWY \# 424, COLORADO SPRINGS, CO 80918-3955
- **Practice address phone:** (989) 553-0082
- **Mailing address:** 1121 AUSTIN BLUFFS PKWY UNIT 424, COLORADO SPRINGS, CO 80918-3955
- **Mailing address phone:** (989) 553-0082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2023
- **Last updated:** 08/11/2023