| Bridge Behavior Consulting Llc | |
|
188 Robin Ln Bainbridge GA 39819-6465 | |
| (229) 726-5311 | |
| Not Available |
| Full Name | Bridge Behavior Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 188 Robin Ln, Bainbridge, Georgia |
| Authorized Official Name and Position | Mariah Avery (BCBA/ OWNER) |
| Authorized Official Contact | 2297265311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Behavior Consulting Llc 188 Robin Ln Bainbridge GA 39819-6465 Ph: () - | Bridge Behavior Consulting Llc 188 Robin Ln Bainbridge GA 39819-6465 Ph: (229) 726-5311 |
| NPI Number | 1346921129 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346921129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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