Individual
SARA BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
16635 RIDGE RD, NORTHVILLE, MI 48168-9530
(734) 788-6897
Mailing address
16325 MARSHA ST, LIVONIA, MI 48154-1244
(734) 788-6897
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58254
CO
Other
Enumeration date
08/16/2022
Last updated
07/28/2023
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