| Bright Horizons Behavior, Llc | |
|
5701 Bahia Del Mar Cir 508 St Petersburg FL 33715-2394 | |
| (727) 278-1171 | |
| Not Available |
| Full Name | Bright Horizons Behavior, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5701 Bahia Del Mar Cir, St Petersburg, Florida |
| Authorized Official Name and Position | Spiro Kotsios (BCBA/PRESIDENT) |
| Authorized Official Contact | 7272781171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Horizons Behavior, Llc Bahia Del Mar Circle 508 Saint Petersburg FL 33715 Ph: (727) 278-1171 | Bright Horizons Behavior, Llc 5701 Bahia Del Mar Cir 508 St Petersburg FL 33715-2394 Ph: (727) 278-1171 |
| NPI Number | 1124439344 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 06/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124439344 | NPI | - | NPPES |
| 010671700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-15-18495 (Florida) | Primary |
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