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NPI Code Detail

MEDICARE: ARIEL DAVIS-BRIDGES

MEDICARE: ARIEL DAVIS-BRIDGES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1497680516
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL DAVIS-BRIDGES
Provider Business Mailing Address
First Line : 12405 PLANTATION PINE LN APT 202
Second Line :
City : TAMPA
State : FL
Zip : 33635-1806
Country : US
Telephone Number : 586-359-4636
Fax Number :
Provider Business Practice Location Address
First Line : 18288 N US HIGHWAY 41
Second Line :
City : LUTZ
State : FL
Zip : 33549-4400
Country : US
Telephone Number : 813-527-9638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ ARIEL DAVIS-BRIDGES ” Practice Location

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