Provider Demographics
NPI:1285526566
Name:BRIGHT SPOT THERAPY, LLC
Entity type:Organization
Organization Name:BRIGHT SPOT THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIQUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-598-2633
Mailing Address - Street 1:14 STEBBINS ST STE B
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-2480
Mailing Address - Country:US
Mailing Address - Phone:802-598-2633
Mailing Address - Fax:
Practice Address - Street 1:14 STEBBINS ST STE B
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-2480
Practice Address - Country:US
Practice Address - Phone:802-598-2633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health