Organization
PURPLE BRIDGE THERAPY LLC
Active
Other names
Purple Bridge Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GAVRIEL SEPTON (CEO)
(216) 262-4700
Entity
Organization
Contact information
Practice address
2121 S GREEN RD STE 202, SOUTH EUCLID, OH 44121-3318
(216) 262-4700
Mailing address
2121 S GREEN RD STE 202, SOUTH EUCLID, OH 44121-3318
(216) 262-4700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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