Organization
BRIGHT IMPACT BEHAVIORAL PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY IGUOBADIA MD (OWNER)
(615) 738-6463
Entity
Organization
Contact information
Practice address
1012 GA-247, KATHLEEN, GA 31047-2349
(615) 738-6463
Mailing address
2001 MELROSE PL, KATHLEEN, GA 31047-2873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
01/27/2026
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