Organization Active NPI

Bright Behavior Therapy

  • Multi-Specialty Clinic/Center
  • Braintree, MA
National Provider Identifier
1649934043
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRIGHT BEHAVIOR THERAPY
Practice address
175 Bay State Dr
Braintree, MA 02184-5203
Phone
(508) 505-1200
NPI assigned
Oct 22, 2021
Organization subpart
Yes
Parent organization
BRIGHT BEHAVIOR THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Sonia Salman, M.ED., LBA, BCBA
Title
Clinical Director
Phone
(313) 645-2422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

175 Bay State Dr
Braintree, MA 02184-5203

Mailing address

175 Bay State Dr
Braintree, MA 02184-5203
Phone (508) 505-1200

National Provider Directory

National Provider Directory
Part of
Bright Behavior Therapy LLC

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1649934043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BAY STATE DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845203",
            "telephone_number": "508-505-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BAY STATE DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845203",
            "telephone_number": "508-505-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BEHAVIOR THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHT BEHAVIOR THERAPY LLC",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-645-2422",
        "authorized_official_credential": "M.ED., LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.