| Bridges Behavioral Consulting | |
|
1838 Perimeter Park Rd Fernandina Beach FL 32034-1975 | |
| (904) 753-0701 | |
| Not Available |
| Full Name | Bridges Behavioral Consulting |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1838 Perimeter Park Rd, Fernandina Beach, Florida |
| Authorized Official Name and Position | Philip Warren Kinard (OWNER) |
| Authorized Official Contact | 9047530701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Behavioral Consulting 1838 Perimeter Park Rd Fernandina Beach FL 32034-1975 Ph: (904) 753-0701 | Bridges Behavioral Consulting 1838 Perimeter Park Rd Fernandina Beach FL 32034-1975 Ph: (904) 753-0701 |
| NPI Number | 1275924276 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275924276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-11-8789 (Florida) | Primary |
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