| Brightstar Kids Services | |
|
150 3rd St Sw Ste 109 Winter Haven FL 33880-2980 | |
| (863) 271-9551 | |
| Not Available |
| Full Name | Brightstar Kids Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 150 3rd St Sw Ste 109, Winter Haven, Florida |
| Authorized Official Name and Position | Lazaro Martinez (PRESIDENT) |
| Authorized Official Contact | 8632719551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightstar Kids Services 150 3rd St Sw Ste 109 Winter Haven FL 33880-2980 Ph: (863) 271-9551 | Brightstar Kids Services 150 3rd St Sw Ste 109 Winter Haven FL 33880-2980 Ph: (863) 271-9551 |
| NPI Number | 1114653359 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114653359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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