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 1:10711 RED RUN BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5138
Mailing Address - Country:US
Mailing Address - Phone:443-391-2169
Mailing Address - Fax:443-391-2382
Practice Address - Street 1:10711 RED RUN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5138
Practice Address - Country:US
Practice Address - Phone:443-391-2169
Practice Address - Fax:443-391-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty