Organization
BRIGHTSIDE BEHAVIORAL CENTER INC
Active
Other names
BRIGHTSIDE BEHAVIORAL CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIET JORGE GOMEZ (ADMINISTRATOR)
(913) 952-4162
Entity
Organization
Contact information
Practice address
1750 W BROADWAY ST STE 120, OVIEDO, FL 32765-9618
(786) 715-3175
Mailing address
11037 SITING PL, ORLANDO, FL 32825-7227
(786) 715-3175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
10/12/2022
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