Provider Demographics
NPI:1497639884
Name:BRIGHT STEPS LICENSED BEHAVIOR ANALYST
Entity type:Organization
Organization Name:BRIGHT STEPS LICENSED BEHAVIOR ANALYST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURROGATE
Authorized Official - Prefix:
Authorized Official - First Name:JONAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED BCBA LBA
Authorized Official - Phone:845-376-2073
Mailing Address - Street 1:30 LA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH FALLSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12779-5032
Mailing Address - Country:US
Mailing Address - Phone:845-376-2073
Mailing Address - Fax:
Practice Address - Street 1:30 LA VISTA DR
Practice Address - Street 2:
Practice Address - City:SOUTH FALLSBURG
Practice Address - State:NY
Practice Address - Zip Code:12779-5032
Practice Address - Country:US
Practice Address - Phone:845-376-2073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty