Organization
BRIGHTLIGHT BEHAVIORAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIBIS BROCHE (PRESIDENT)
(305) 979-7309
Entity
Organization
Contact information
Practice address
16464 SW 84TH ST, MIAMI, FL 33193-5735
(305) 979-7309
Mailing address
16464 SW 84TH ST, MIAMI, FL 33193-5735
(305) 979-7309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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