Individual
BRIDGOT STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MAIN STREET EXT UNIT 3573, PLYMOUTH, MA 02361-7028
(774) 699-1796
Mailing address
6 MAIN STREET EXT UNIT 3573, PLYMOUTH, MA 02361-7028
(774) 699-1796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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