NPI 1356926604 · live from the CMS NPI Registry
Bridgeway Aba Therapy, LLC
Behavior Analyst in Prattville, AL. National Provider Identifier 1356926604, active.
NPI record
| NPI | 1356926604 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 215 Deer Run Dr, Prattville, AL 36067 |
| Practice phone | 334-363-3359 |
| Mailing address | 2751 Legends Pkwy Ste 102, Prattville, AL 36066 |
| Enumerated | March 17, 2021 |
| Last updated | February 24, 2022 |
| Authorized official | Elizabeth Corley, Bcba |
| Other names | Bridgeway Aba Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.