Bright Start ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIGHT START ABA LLC

Practice address

7 Post Office Rd Ste M
Waldorf, MD 20602-2744

Phone

(504) 289-3597

NPI assigned

Jan 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Omar Judeh

Title

Founder

Phone

(504) 289-3597

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1124733688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 ROLLINGWOOD DR",
            "city": "POMFRET",
            "state": "MD",
            "postal_code": "206753125",
            "telephone_number": "504-289-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 POST OFFICE RD STE M",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022744",
            "telephone_number": "504-289-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT START ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "JUDEH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "504-289-3597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.