Organization
BRIGHT STAR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUTA WEISS SLP (OWNER)
(732) 905-1212
Entity
Organization
Contact information
Practice address
125 NED DR, LAKEWOOD, NJ 08701-5101
(732) 905-1212
(732) 612-1156
Mailing address
125 NED DR, LAKEWOOD, NJ 08701-5101
(732) 905-1212
(732) 612-1156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/31/2014
Last updated
08/31/2016
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