| Building Bridges Therapy Center | |
|
46200 Port St Plymouth MI 48170 | |
| (734) 454-0866 | |
| (734) 454-1744 |
| Full Name | Building Bridges Therapy Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 46200 Port St, Plymouth, Michigan |
| Authorized Official Name and Position | Bradley J Naberhaus (PRESIDENT) |
| Authorized Official Contact | 7344540866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Bridges Therapy Center 9357 General Dr Suite 101 Plymouth MI 48170-4662 Ph: (734) 454-0866 | Building Bridges Therapy Center 46200 Port St Plymouth MI 48170 Ph: (734) 454-0866 |
| NPI Number | 1710314562 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710314562 | NPI | - | NPPES |
| 1902094287 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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