Provider Demographics
NPI:1235951310
Name:BRIGHT SPECTRUM ABA L.L.C
Entity type:Organization
Organization Name:BRIGHT SPECTRUM ABA L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:YEFRY
Authorized Official - Middle Name:DANTE
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-221-3544
Mailing Address - Street 1:3403 PLEASANT PLAINS DR
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-4415
Mailing Address - Country:US
Mailing Address - Phone:443-509-1675
Mailing Address - Fax:
Practice Address - Street 1:3403 PLEASANT PLAINS DR
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-4415
Practice Address - Country:US
Practice Address - Phone:443-509-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty