Organization
BRIGHT SKY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA FASTOVSKAYA BCBA (CEO)
(913) 424-5130
Entity
Organization
Contact information
Practice address
4609 N 121ST TER, KANSAS CITY, KS 66109-2928
(913) 424-5130
Mailing address
4609 N 121ST TER, KANSAS CITY, KS 66109-2928
(913) 424-5130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
08/03/2020
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