Brightside ABA Az LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIGHTSIDE ABA AZ LLC

Practice address

2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139

Phone

(877) 276-0626

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Mayer Kulefsky

Title

Coo

Phone

(877) 276-0626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1639910862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WASHINGTON AVE STE 1",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N CENTRAL AVE STE 1800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042139",
            "telephone_number": "877-276-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE ABA AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "KULEFSKY",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-276-0626"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Way Institute
• Brighter Way Institute
• Brighter Way Institute
• Karen Brightman
• Brightmind Behavioral Health, LLC
• Brightstar Services LLC
• Megan Briglia
• Leah Brignall, LAC
• Lori Kim Brill, PSYD
• Frederick Joseph Brillas, D.C.

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.