Bright Life Aba
Community/Behavioral Health in Fort Wayne, Indiana
1073407698- Practice location
- 110 E Wayne St Fl 12, Fort Wayne, IN 46802-2611
- Phone
- 845-304-5451
- Fax
- —
- Last updated
- February 26, 2026
Bright Life Aba is a healthcare organization based in Fort Wayne, IN. Bright Life Aba practices in Fort Wayne, IN. The NPI Number for Bright Life Aba is 1073407698. The current practice location address for Bright Life Aba is 110 E Wayne St Fl 12, Fort Wayne, IN 46802-2611 and can be reached out via phone at 845-304-5451.
Provider Profile Details
- NPI Number
- 1073407698
- Provider Name
- Bright Life Aba
- Provider Entity Type
- Organization
- Address
- 110 E Wayne St Fl 12, Fort Wayne, IN 46802-2611
- Phone Number
- 845-304-5451
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Chayim Russ · Ceo · 845-304-5451
- Provider Enumeration Date
- June 6, 2025
- Last Update Date
- February 26, 2026
- Certification Date
- February 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 E Wayne St Fl 12
Fort Wayne, IN 46802-2611 - City
- Fort Wayne
- State
- Indiana
- Zip
- 46802-2611
- Phone Number
- 845-304-5451
Provider Business Mailing Address Details
- Address
- 1718 New Hampshire Ave
Toms River, NJ 08755-2136 - City
- Toms River
- State
- NJ
- Zip
- 08755-2136
- Phone Number
- 845-304-5451
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bright Life Aba?
The NPI number of Bright Life Aba is 1073407698. It was assigned on June 6, 2025 and is currently active in the NPPES registry.
What is the specialty of Bright Life Aba?
Bright Life Aba is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Bright Life Aba practice?
The practice location is 110 E Wayne St Fl 12, Fort Wayne, IN 46802-2611. The office can be reached at 845-304-5451 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073407698 directly on the NPPES registry website.