Organization
BRIGHT HORIZONS BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYRON OSUALDO SANTIESTEBAN (MANAGER)
(786) 523-2938
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE STE 101, MESA, AZ 85206-4633
(786) 523-2938
Mailing address
4566 E INVERNESS AVE STE 101, MESA, AZ 85206-4633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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