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Individual

JACOB BRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1300 W JEFFERSON ST, FRANKLIN, IN 46131-9120
(317) 918-2689
(317) 973-0196
Mailing address
11979 FISHERS CROSSING DR, FISHERS, IN 46038-2778
(317) 918-2689
(317) 973-0196

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60103
IN
106S00000X
Behavior Technician
RBT-19-106221
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-22-60103
BCBA CERTIFICATION
IN
01
95001371A
LICENSED BEHAVIOR ANALYST
IN
Enumeration date
04/21/2022
Last updated
05/15/2026
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