ABA Brightside in LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA BRIGHTSIDE IN LLC

Practice address

8720 Knickerbocker Way
Indianapolis, IN 46240-2102

Phone

(347) 461-0983

NPI assigned

Jun 17, 2024

Last updated

Jun 17, 2024By 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

Mayer Kulefsky

Title

VP of Operations

Phone

(347) 461-0983

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1669215638",
    "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",
            "telephone_number": "347-461-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 KNICKERBOCKER WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402102",
            "telephone_number": "347-461-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA BRIGHTSIDE IN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "KULEFSKY",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "347-461-0983"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.