Bright Life ABA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIGHT LIFE ABA

Practice address

110 E Wayne St FL 12
Fort Wayne, IN 46802-2611

Phone

(845) 304-5451

NPI assigned

Jun 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chayim Russ

Title

Ceo

Phone

(845) 304-5451

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1073407698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 NEW HAMPSHIRE AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552136",
            "telephone_number": "845-304-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST FL 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022611",
            "telephone_number": "845-304-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIFE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "CHAYIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-304-5451"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.