Organization
BRIGHT BEHAVIOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS MCGUIRE (OPERATIONS DIRECTOR)
(719) 325-6311
Entity
Organization
Contact information
Practice address
4815 LIST DR STE 107, COLORADO SPRINGS, CO 80919-3340
(214) 901-4196
Mailing address
104 W OLD BROADMOOR RD, COLORADO SPRINGS, CO 80906-3336
(214) 901-4196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/12/2017
Last updated
01/26/2023
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