Provider Demographics
NPI:1326935008
Name:BRIGHTEN COMMUNITY SUPPORT CENTER
Entity type:Organization
Organization Name:BRIGHTEN COMMUNITY SUPPORT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGIINIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KASIAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, ABA
Authorized Official - Phone:978-289-7258
Mailing Address - Street 1:10 MAIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2410
Mailing Address - Country:US
Mailing Address - Phone:978-258-7258
Mailing Address - Fax:
Practice Address - Street 1:10 MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2410
Practice Address - Country:US
Practice Address - Phone:978-258-7258
Practice Address - Fax:978-655-8552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental DisabilitiesGroup - Multi-Specialty