Organization
BRIDGE TO PLAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CHASE HAMBURG (CO-OWNER)
(417) 268-8992
Entity
Organization
Contact information
Practice address
208 SHADY ACRES CIRCLE, NIXA, MO 65714
(417) 597-3828
Mailing address
208 SHADY ACRES CIR, NIXA, MO 65714-6709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/26/2026
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