Wellformed AI

NPI 1093658940 · live from the CMS NPI Registry

Bridge Sensory Center LLC

Behavior Analyst in Gresham, OR. National Provider Identifier 1093658940, active.

NPI record

NPI1093658940 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3908 Sw Duniway Ln, Gresham, OR 97080
Practice phone503-810-6608
EnumeratedApril 13, 2026
Last updatedMay 24, 2026
Authorized officialMuna Yusuf, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.