Individual
AMANDA TIANA BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1507 SE 18TH ST, CAPE CORAL, FL 33990
(757) 892-9900
Mailing address
1507 SE 18TH ST, CAPE CORAL, FL 33990-5510
(757) 892-9900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/16/2018
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