Healthcare Provider Details

I. General information

NPI: 1689461758
Provider Name (Legal Business Name): BRIDGES AUTISM THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 DELOWE DR SW
ATLANTA GA
30311-4702
US

IV. Provider business mailing address

1870 DELOWE DR SW
ATLANTA GA
30311-4702
US

V. Phone/Fax

Practice location:
  • Phone: 404-576-1314
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DR. HONEY MEADOWS
Title or Position: OWNER
Credential:
Phone: 470-579-1787