| Bridging Differences Aba | |
|
7520 S Shingle Rd Shingle Springs CA 95682-8081 | |
| (530) 280-5531 | |
| (208) 518-1286 |
| Full Name | Bridging Differences Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7520 S Shingle Rd, Shingle Springs, California |
| Authorized Official Name and Position | Mary Olson (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9162804678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Differences Aba 7520 S Shingle Rd Shingle Springs CA 95682-8081 Ph: (916) 280-5531 | Bridging Differences Aba 7520 S Shingle Rd Shingle Springs CA 95682-8081 Ph: (530) 280-5531 |
| NPI Number | 1003374794 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003374794 | NPI | - | NPPES |
| 1285018002 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Alcohol And Drug Program-ccc Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3974 Durock Rd Ste 205, Shingle Springs, CA 95682 Phone: 530-621-6659 |