| Bridge Therapy Group Llc | |
|
1845 4th Ln Vero Beach FL 32962-2172 | |
| (321) 378-0323 | |
| Not Available |
| Full Name | Bridge Therapy Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1845 4th Ln, Vero Beach, Florida |
| Authorized Official Name and Position | Teresa M Johnson (AMBR) |
| Authorized Official Contact | 3213780323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Therapy Group Llc 1845 4th Ln Vero Beach FL 32962-2172 Ph: (321) 378-0323 | Bridge Therapy Group Llc 1845 4th Ln Vero Beach FL 32962-2172 Ph: (321) 378-0323 |
| NPI Number | 1912780156 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912780156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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