Organization
BRIGHT LIFE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAYIM RUSS (CEO)
(845) 304-5451
Entity
Organization
Contact information
Practice address
110 E WAYNE ST FL 12, FORT WAYNE, IN 46802-2611
(845) 304-5451
Mailing address
1718 NEW HAMPSHIRE AVE, TOMS RIVER, NJ 08755-2136
(845) 304-5451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
02/26/2026
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