Organization
BEHAVIOR BRIDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETTELL BARRETO MARTINEZ (CEO)
(813) 446-2988
Entity
Organization
Contact information
Practice address
8404 WILSKY BLVD STE 122, TAMPA, FL 33615-1515
(813) 446-2988
Mailing address
8404 WILSKY BLVD STE 122, TAMPA, FL 33615-1515
(813) 446-2988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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