Individual
ANGELA DIANE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 PEACH RD, BYRON, GA 31008-4303
(478) 390-8277
Mailing address
199 PEACH RD, BYRON, GA 31008-4303
(478) 390-8277
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/11/2024
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