Organization
BLUE BRIDGE THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYANI AGUIRRE M.S., CCC-SLP (CO OWNER)
(786) 534-8773
Entity
Organization
Contact information
Practice address
4531 DELEON ST STE 212, FORT MYERS, FL 33907-1279
(786) 534-8773
Mailing address
4531 DELEON ST STE 212, FORT MYERS, FL 33907-1279
(786) 534-8773
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
08/03/2020
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