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Organization

BRIGHT PATH PEDIATRIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE REYES DBH, BCBA, LBA (OWNER)
(561) 371-1475
Entity
Organization

Contact information

Practice address
1860 SW FOUNTAINVIEW BLVD STE 37, PORT SAINT LUCIE, FL 34986-4535
(561) 371-1475
(772) 200-4373
Mailing address
1860 SW FOUNTAINVIEW BLVD STE 37, PORT SAINT LUCIE, FL 34986-4535
(561) 371-1475
(772) 200-4373

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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