Organization
ABA SCHOOLHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRIDGEFORTH ABA (OWNER)
(805) 325-1421
Entity
Organization
Contact information
Practice address
9221 E BASELINE RD STE 109NO242, MESA, AZ 85209-8310
(805) 325-1421
(480) 939-3596
Mailing address
9221 E BASELINE RD STE 109NO242, MESA, AZ 85209-8310
(805) 325-1421
(480) 939-3596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AZ
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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