Individual
CAROLINE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
4440 VIKING DR, BOSSIER CITY, LA 71111-7511
(318) 588-8908
(318) 588-8909
Mailing address
PO BOX 1823, WEST MONROE, LA 71294-1823
(318) 588-8908
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
C-065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-065
STATE CERTIFIED ASSISTANT BEHAVOIR ANALYST
LA
Enumeration date
11/07/2020
Last updated
11/07/2020
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