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Organization

BRIGHT HORIZONS BEHAVIOR THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SPIRO KOTSIOS (BCBA/PRESIDENT)
(727) 278-1171
Entity
Organization

Contact information

Practice address
5701 BAHIA DEL MAR CIR APT 401, ST PETERSBURG, FL 33715-2357
(727) 278-1171
Mailing address
5701 BAHIA DEL MAR CIR APT 401, ST PETERSBURG, FL 33715-2357
(727) 278-1171

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251S00000X
Community/Behavioral Health Agency
1-15-18495
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010671700
FL
05
018228300
FL
Enumeration date
05/09/2014
Last updated
02/05/2025
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