| Bridge The Divide Llc | |
|
10560 Browning Rd Lithia FL 33547-3853 | |
| (813) 966-5453 | |
| Not Available |
| Full Name | Bridge The Divide Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10560 Browning Rd, Lithia, Florida |
| Authorized Official Name and Position | Baldwin Dernion Sterling (CEO) |
| Authorized Official Contact | 8139665453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge The Divide Llc 10560 Browning Rd Lithia FL 33547-3853 Ph: (813) 966-5453 | Bridge The Divide Llc 10560 Browning Rd Lithia FL 33547-3853 Ph: (813) 966-5453 |
| NPI Number | 1396553376 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396553376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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