Organization
BRIDGE BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYLA A PETRIE BCBA, LABA (OWNER/BCBA)
(508) 287-4105
Entity
Organization
Contact information
Practice address
54 LAKE DR, PLYMOUTH, MA 02360-5644
(508) 287-4105
Mailing address
54 LAKE DR, PLYMOUTH, MA 02360-5644
(508) 287-4105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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