Bright Life Aba
NPI #1073407698 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1073407698
- Entity Type
- Organization
- Organization Name
- Bright Life Aba
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jun 6, 2025
- Last Updated
- Jul 10, 2025
Practice Location
- Address
- 110 E WAYNE ST FL 12
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46802-2611
- Phone
- (845) 304-5451
Authorized Official
- Name
- CHAYIM RUSS
- Title
- DIRECTOR
- Phone
- (260) 267-0360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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