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Active NPI 1609731579 Organization (Entity Type 2)

Brightleaf Behavioral Support

Behavior Analyst • Gardner, MA

About Brightleaf Behavioral Support NPI 1609731579 Summary

Brightleaf Behavioral Support is a verified healthcare organization specializing in Behavior Analyst operating in Gardner, MA. Located at 121 MONADNOCK ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1609731579.

Administrative operations and authorized compliance are overseen by Samantha Haskins (Executive Clinical Director).

Facility Location & Contact Primary Location

Facility Address

121 Monadnock St

Gardner, MA 014402103

Telephone 7743864659

Authorized Official Information

Authorized Contact Name

Samantha Haskins , BCBA

Title / Role

Executive Clinical Director

Official Telephone

8027826562

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active December 30, 2025

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2025

Registered at 121 MONADNOCK ST, GARDNER, MA 014402103 (Tel: 7743864659)

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Updated Business Mailing Address December 30, 2025

Registered at 121 MONADNOCK ST, GARDNER, MA 014402103

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Organization / Clinic Name Updated December 30, 2025

Operating as BRIGHTLEAF BEHAVIORAL SUPPORT

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2025

Behavior Analyst

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Initial NPI Registration & Enumeration December 22, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1609731579

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: December 22, 2025

Last Update: December 30, 2025

Update or Correct Listing

Mailing Address

121 Monadnock St

Gardner, MA 014402103

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.