Organization Active NPI

Brightstone Therapy LLC

  • Behavior Analyst
  • Orange Park, FL
National Provider Identifier
1396432860
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIGHTSTONE THERAPY LLC
Practice address
1650 Wells Rd
Orange Park, FL 32073-2318
Phone
(718) 483-5093
NPI assigned
Apr 24, 2023
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Brian Kohn
Title
Member
Phone
(718) 483-5093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1650 Wells Rd
Orange Park, FL 32073-2318

Mailing address

180 Phillips Hill Rd Ste 1a
New City, NY 10956-4132

Other practice location 1

2881 Monroe Hwy
Bogart, GA 30622-8528
Phone (718) 483-5093

Other practice location 2

6196 Lake Gray Blvd
Jacksonville, FL 32244-7503
Phone (904) 456-1204

National Provider Directory

National Provider Directory

Locations

6196 Lake Gray Blvd
Jacksonville, FL 32244
Phone (718) 483-5093

6817 Southpoint Pkwy
Ste 1604
Jacksonville, FL 32216
Phone (904) 902-5957

1650 Wells Rd
Orange Park, FL 32073
Phone (718) 483-5093

810 Olympic Dr
Athens, GA 30601
Phone (904) 456-1204

3385 Flat Shoals Rd
Decatur, GA 30034
Phone (904) 456-1204

1061 Old Peachtree Rd
Lawrenceville, GA 30043

1020 Old Dallas Rd SW
Marietta, GA 30064

2000 Lower Roswell Rd
Marietta, GA 30068

1000 Labonte Pkwy
McDonough, GA 30253

480 Racetrack Rd
McDonough, GA 30252

2175 N Norcross Tucker Rd
Norcross, GA 30071

7597 Taylor Rd
Riverdale, GA 30274

431 Allgood Rd
Stone Mtn, GA 30083

205 Old Peachtree Rd NW
Suwanee, GA 30024

1471 Jennings Mill Rd
Watkinsville, GA 30677

1026 Dodge Ave
Mishawaka, IN 46544

180 Phillips Hill Rd
Ste 1A
New City, NY 10956

Practitioners & affiliated clinicians

Practitioners 11

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": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1396432860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PHILLIPS HILL RD STE 1A",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732318",
            "telephone_number": "718-483-5093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2881 Monroe Hwy",
            "address_purpose": "LOCATION",
            "city": "Bogart",
            "state": "GA",
            "postal_code": "306228528",
            "country_code": "US",
            "telephone_number": "718-483-5093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6196 Lake Gray Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322447503",
            "country_code": "US",
            "telephone_number": "904-456-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTSTONE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-483-5093"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.