| Bridgeway Aba Therapy, Llc | |
|
215 Deer Run Dr Prattville AL 36067-3835 | |
| (334) 363-3359 | |
| (334) 625-1853 |
| Full Name | Bridgeway Aba Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 215 Deer Run Dr, Prattville, Alabama |
| Authorized Official Name and Position | Elizabeth F Corley (BCBA) |
| Authorized Official Contact | 3343633359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Aba Therapy, Llc 2751 Legends Pkwy Ste 102 Prattville AL 36066-7754 Ph: (334) 363-3359 | Bridgeway Aba Therapy, Llc 215 Deer Run Dr Prattville AL 36067-3835 Ph: (334) 363-3359 |
| NPI Number | 1356926604 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356926604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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