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Organization
BRIGHT IMPACT BEHAVIORAL PRACTICE
Active
Organization
BRIGHT IMPACT BEHAVIORAL PRACTICE
Active
Parent organization
RESPECT BEHAVIOR THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESPECT BEHAVIOR THERAPY
Authorized official
STACYANN SAMUELS (REGIONAL DIRECTOR)
(943) 200-0016
Entity
Organization
Contact information
Practice address
1012 GA HIGHWAY 247 S, KATHLEEN, GA 31047-2349
(943) 200-0016
Mailing address
1012 GA HIGHWAY 247 S, KATHLEEN, GA 31047-2349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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