Bright Impact Behavioral Practice

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIGHT IMPACT BEHAVIORAL PRACTICE

Practice address

1012 Ga Highway 247 S
Kathleen, GA 31047-2349

Phone

(943) 200-0016

NPI assigned

Oct 15, 2025

Organization subpart

Yes

Parent organization

RESPECT BEHAVIOR THERAPYAs reported in NPPES

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

Authorized official

Name

Stacyann Samuels

Title

Regional Director

Phone

(943) 200-0016

Specialties & licenses 3

Addresses

Tax ID family

Bright Impact Behavioral Practice2 organizations share this tax ID, including this one

Part of

Bright Impact Behavioral Practice

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Respect Behavior Therapy

  • Community/Behavioral Health Agency
  • Forest Park, GA
  • NPI 1114639333
  NPD tax ID

Locations

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1932075942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 GA HIGHWAY 247 S",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 GA HIGHWAY 247 S",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472349",
            "telephone_number": "943-200-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT IMPACT BEHAVIORAL PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESPECT BEHAVIOR THERAPY",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "STACYANN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "943-200-0016"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Baker
• Stacie Bentley, DMD
• Shanise Deliveyon Billings, LCSW
• Rebecca Bobbitt
• Gloria Bostick, RN
• Bright Impact Behavioral Practices
• Ashley Golden Brooks, NP
• Lakecia J Brooks
• Julia Lauren Burch
• C.M. Kinnard, LLC

• Behavior Analyst in Kathleen, GA
• Providers in Kathleen, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.