| Brightstone Therapy Llc | |
|
1650 Wells Rd Orange Park FL 32073-2318 | |
| (718) 483-5093 | |
| Not Available |
| Full Name | Brightstone Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1650 Wells Rd, Orange Park, Florida |
| Authorized Official Name and Position | Brian Kohn (MEMBER) |
| Authorized Official Contact | 7184835093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightstone Therapy Llc 180 Phillips Hill Rd Ste 1a New City NY 10956-4132 Ph: () - | Brightstone Therapy Llc 1650 Wells Rd Orange Park FL 32073-2318 Ph: (718) 483-5093 |
| NPI Number | 1396432860 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396432860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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