Bright Start Child Development Center, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

11594 Issued in NY

Legal business name

BRIGHT START CHILD DEVELOPMENT CENTER, LLC

Practice address

2901 Campus Rd
Brooklyn, NY 11210-2153

Phone

(917) 678-9386

NPI assigned

Nov 29, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Alisa Berger, CCC-SLP

Title

Owner/Program Director

Phone

(516) 205-4004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448755200000",
    "number": "1932573086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 E 69TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345724",
            "telephone_number": "516-205-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CAMPUS RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102153",
            "telephone_number": "917-678-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT START CHILD DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-29",
        "last_updated": "2015-11-29",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "516-205-4004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "11594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2015; 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.