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Organization

BRIDGEWAY AGENCY, LLC

Active
Other names
BridgeWay Agency, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KASSANDRA BRYAN BCBA (OWNER/BCBA)
(352) 727-9304
Entity
Organization

Contact information

Practice address
4511 NE COUNTY ROAD 219A, MELROSE, FL 32666-6027
(352) 727-9304
Mailing address
4511 NE COUNTY ROAD 219A, MELROSE, FL 32666-6027
(352) 727-9304

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/06/2022
Last updated
05/26/2022
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