Provider Demographics
NPI:1194343707
Name:BRIDGES CONSULTATION AND TREATMENT
Entity type:Organization
Organization Name:BRIDGES CONSULTATION AND TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, BCBA
Authorized Official - Prefix:
Authorized Official - First Name:KASSITY
Authorized Official - Middle Name:
Authorized Official - Last Name:SENF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-438-9360
Mailing Address - Street 1:W4874 EDELWEISS ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW GLARUS
Mailing Address - State:WI
Mailing Address - Zip Code:53574
Mailing Address - Country:US
Mailing Address - Phone:608-438-9360
Mailing Address - Fax:715-972-8113
Practice Address - Street 1:W4874 EDELWEISS ROAD
Practice Address - Street 2:
Practice Address - City:NEW GLARUS
Practice Address - State:WI
Practice Address - Zip Code:53574
Practice Address - Country:US
Practice Address - Phone:608-438-9360
Practice Address - Fax:715-972-8113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty