Organization
BRIDGE THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JOHNSON (AMBR)
(321) 378-0323
Entity
Organization
Contact information
Practice address
1845 4TH LN, VERO BEACH, FL 32962-2172
(321) 378-0323
Mailing address
1845 4TH LN, VERO BEACH, FL 32962-2172
(321) 378-0323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
02/06/2024
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