Organization
BRIDGES BEHAVIORAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WARREN KINARD M.ED, BCBA (OWNER)
(904) 753-0701
Entity
Organization
Contact information
Practice address
1838 PERIMETER PARK RD, FERNANDINA BEACH, FL 32034-1975
(904) 753-0701
Mailing address
1838 PERIMETER PARK RD, FERNANDINA BEACH, FL 32034-1975
(904) 753-0701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8789
FL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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