BRIGHT SHINE LICENSED BEHAVIOR ANALYST PC NPI 1174255566

NPI Information

  • NPI: 1174255566
  • Provider Name: BRIGHT SHINE LICENSED BEHAVIOR ANALYST PC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 1458 50TH ST APT 4
    BROOKLYN, NY
    ZIP 11219
  • Phone: (917) 573-9007

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NPI Details

BRIGHT SHINE LICENSED BEHAVIOR ANALYST PC is a developmental disabilities clinic center in Brooklyn, NY. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). BRIGHT SHINE LICENSED BEHAVIOR ANALYST PC NPI is 1174255566. The provider is registered as an organization entity type.

The provider's business location address is:

1458 50TH ST APT 4
BROOKLYN, NY
ZIP 11219-678
Phone: (917) 573-9007

The provider's authorized official is Bernard Zitronenbaum .
The authorized official title is Behavior Analyst and has the following contact phone number (917) 573-9007.

The enumeration date for this NPI number is 6/26/2022 and was last updated on 6/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11558626606OTHERNEW YORKSPED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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