Organization Active NPI

Bright Dakroub LLC.

  • Behavior Analyst
  • Troy, MI
National Provider Identifier
1174222871
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIGHT DAKROUB LLC.
Practice address
2032 E Square Lake Rd
Troy, MI 48085-3338
Phone
(313) 645-2422
NPI assigned
Mar 1, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIGHT BEHAVIOR THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Mrs. Sonia SalmanNPI 1184014367
Title
License Holder
Phone
(313) 645-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2032 E Square Lake Rd
Troy, MI 48085-3338

Mailing address

23500 Park St Ste 3
Dearborn, MI 48124-2598
Phone (313) 645-2422

Other names 1

  • Bright Behavior Therapy TROY Other name

National Provider Directory

National Provider Directory
Part of
Bright Behavior Therapy LLC

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1174222871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 PARK ST STE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242598",
            "telephone_number": "313-645-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 E SQUARE LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853338",
            "telephone_number": "313-645-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT DAKROUB LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHT BEHAVIOR THERAPY LLC",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "LICENSE HOLDER",
        "authorized_official_telephone_number": "313-645-2422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Behavior Therapy TROY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.