Individual
MISS DIAN RENEE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, MA
Contact information
Practice address
175 BROADWELL CIR, FRANKLIN, TN 37067-2667
(615) 778-9101
(615) 778-9185
Mailing address
175 BROADWELL CIR, FRANKLIN, TN 37067-2667
(615) 778-9101
(615) 778-9185
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-02-0896
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00828
DMRS
TN
Enumeration date
06/03/2008
Last updated
06/03/2008
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