| Bright Light Kids, Llc | |
|
25651 Barrow Rd Manhattan IL 60442-6248 | |
| (815) 953-6497 | |
| (815) 272-2229 |
| Full Name | Bright Light Kids, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25651 Barrow Rd, Manhattan, Illinois |
| Authorized Official Name and Position | Audrey Baenziger (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 8159536497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Light Kids, Llc 25651 Barrow Rd Manhattan IL 60442-6248 Ph: (815) 953-6497 | Bright Light Kids, Llc 25651 Barrow Rd Manhattan IL 60442-6248 Ph: (815) 953-6497 |
| NPI Number | 1679026330 |
|---|---|
| Provider Enumeration Date | 07/29/2016 |
| Last Update Date | 07/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679026330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-20703 (Illinois) | Primary |
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