Individual
STEPHANIE BRIDGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 MALLORY LN, BRENTWOOD, TN 37027-2818
(731) 345-1871
Mailing address
1453 BENLEY ST, MURFREESBORO, TN 37130-7602
(615) 631-8296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-423475
TN
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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