Organization
BRIGHT AND EARLY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MARTIN M.S. CCC-SLP (OWNER / AMBR)
(850) 865-3981
Entity
Organization
Contact information
Practice address
4273 DANA ST, PACE, FL 32571-2009
(850) 865-3981
(866) 675-6298
Mailing address
4273 DANA ST, PACE, FL 32571-2009
(850) 865-3981
(866) 675-6298
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
12/14/2019
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