Organization
BRIGHTSTAR KIDS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARO MARTINEZ (PRESIDENT)
(863) 271-9551
Entity
Organization
Contact information
Practice address
150 3RD ST SW STE 109, WINTER HAVEN, FL 33880-2980
(863) 271-9551
Mailing address
150 3RD ST SW STE 109, WINTER HAVEN, FL 33880-2980
(863) 271-9551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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