Brightwork ABA Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIGHTWORK ABA THERAPY

Practice address

4311 W 169TH St
Lawndale, CA 90260-3323

Phone

(310) 526-1099

NPI assigned

May 27, 2016

Last updated

May 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nicole A Hill, BCBANPI 1124433115

Title

Owner, Clinical Director

Phone

(310) 526-1099

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Nicole Hill, BCBA

  • Behavior Analyst
  • Lawndale, CA
  • NPI 1124433115
  Authorized official Same address or phone

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1609224807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 W 169TH ST",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603323",
            "telephone_number": "310-526-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 W 169TH ST",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603323",
            "telephone_number": "310-526-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWORK ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-526-1099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolyn Sophia Brown, CPI-1 PHLEBOTOMIST
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• Keang Bun

• Early Intervention Provider Agency in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.