Organization
BLUE BRIDGE ABA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA KUHATSCHEK BCBA (BEHAVIOR ANALYST)
(248) 756-6009
Entity
Organization
Contact information
Practice address
4370 CHICAGO DR SW STE 304, GRANDVILLE, MI 49418-1694
(248) 756-6009
Mailing address
524 3 MILE RD NE, GRAND RAPIDS, MI 49505-3345
(248) 756-6009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/16/2022
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