| NPI | 1780483685 |
|---|---|
| Former Legal Business Name | BRIGHTSIDE AUTISM, PLLC |
| Entity Type | Organization |
| Authorized Contact | ARIAM SCARLET DIAZ-MATHUSEK Owner 201-214-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |