Organization
BRIDGE PARTNERSHIP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PATRICK DOUGLAS BCABA (OWNER/DIRECTOR)
(203) 292-6949
Entity
Organization
Contact information
Practice address
2505 BLACK ROCK TURNPIKE, 2ND FLOOR, FAIRFIELD, CT 06825
(203) 292-6949
Mailing address
2505 BLACK ROCK TURNPIKE, 2ND FLOOR, FAIRFIELD, CT 06825
(203) 292-6949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-5069
—
251S00000X
Community/Behavioral Health Agency
1-11-8521
CT
Other
Enumeration date
07/05/2012
Last updated
02/28/2017
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