Provider Demographics
NPI:1861982522
Name:ABA BRIDGE SOLUTIONS LLC
Entity type:Organization
Organization Name:ABA BRIDGE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:KRISTINE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:239-776-2814
Mailing Address - Street 1:2905 S FEDERAL HWY STE C8
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3267
Mailing Address - Country:US
Mailing Address - Phone:239-776-2814
Mailing Address - Fax:954-206-0827
Practice Address - Street 1:2905 S FEDERAL HWY STE C8
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3267
Practice Address - Country:US
Practice Address - Phone:239-776-2814
Practice Address - Fax:954-206-0827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty