| Behavior Bridges Llc | |
|
1404 N Grant St Ste 2 Roma TX 78584-5412 | |
| (956) 844-4056 | |
| (956) 849-7455 |
| Full Name | Behavior Bridges Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1404 N Grant St Ste 2, Roma, Texas |
| Authorized Official Name and Position | Keila Jasmin Pena (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 9568444056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Bridges Llc 507 N Grant St Roma TX 78584-5302 Ph: (956) 844-4056 | Behavior Bridges Llc 1404 N Grant St Ste 2 Roma TX 78584-5412 Ph: (956) 844-4056 |
| NPI Number | 1578360954 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578360954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |