Organization
BRIGHT PATHWAYS ABA AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE COLEMAN (MEMBER)
(303) 406-2696
Entity
Organization
Contact information
Practice address
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
(303) 406-2696
Mailing address
1519 RIPLEY ST, PHILADELPHIA, PA 19111-2821
(303) 406-2696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/10/2024
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