Bridget Conquest
Behavior Analyst in Port Orange, FL. Individual provider (NPI-1).
NPI number1164054854
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1164054854
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bridget Conquest
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2020
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-24-76645 | FL | Yes |
| 106E00000X | Assistant Behavior Analyst | 0-24-15068 | FL | |
| 106S00000X | Behavior Technician | – | FL | |
| 222Q00000X | Developmental Therapist | – | FL | |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
4647 Clyde Morris BlvdPort Orange, FL 32129-3000
Phone 386-767-3752
Mailing address
356 Western RdNew Smyrna Beach, FL 32168-8969
Phone 908-965-5220
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All 28 Behavior Analyst providers in Port Orange · All 1,907 providers in Port Orange
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