| Bright Light Aba Pllc | |
|
1703 Big Bend Dr Cedar Park TX 78613-7475 | |
| (936) 252-2602 | |
| Not Available |
| Full Name | Bright Light Aba Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1703 Big Bend Dr, Cedar Park, Texas |
| Authorized Official Name and Position | Alyssa Dawn Pagone-wilson (LICENSED BEHAVIOR ANALYST) |
| Authorized Official Contact | 9362522602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Light Aba Pllc 1703 Big Bend Dr Cedar Park TX 78613-7475 Ph: (936) 252-2602 | Bright Light Aba Pllc 1703 Big Bend Dr Cedar Park TX 78613-7475 Ph: (936) 252-2602 |
| NPI Number | 1215634118 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215634118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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