Bridge Therapy Group LLC
Behavior Analyst in Vero Beach, FL. Organization (NPI-2).
NPI number1235912759
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1235912759
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge Therapy Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2023
- Certification date
- Feb 6, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1845 4th LnVero Beach, FL 32962-2172
Phone 321-378-0323
Mailing address
1845 4th LnVero Beach, FL 32962-2172
Phone 321-378-0323
Authorized official
Teresa Johnson
Ambr
3213780323
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