| Thrive Bridge Aba Llc | |
|
1012 Ga-247 Kathleen GA 31047-2349 | |
| (615) 738-6463 | |
| Not Available |
| Full Name | Thrive Bridge Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1012 Ga-247, Kathleen, Georgia |
| Authorized Official Name and Position | Barry Iguobadia (OWNER) |
| Authorized Official Contact | 6157386463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Bridge Aba Llc 2001 Melrose Pl Kathleen GA 31047-2873 Ph: () - | Thrive Bridge Aba Llc 1012 Ga-247 Kathleen GA 31047-2349 Ph: (615) 738-6463 |
| NPI Number | 1558232116 |
|---|---|
| Provider Enumeration Date | 09/16/2025 |
| Last Update Date | 09/16/2025 |
| Certification Date | 09/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558232116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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