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1750847935

NPI Code Detail

MEDICARE: BRIDGES BEHAVIORAL THERAPY, LLC

MEDICARE: BRIDGES BEHAVIORAL THERAPY, LLC

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
1	261QD1600X	Developmental Disabilities Clinic/Center
2	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750847935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGES BEHAVIORAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	2054 VISTA PKWY STE 400
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2054 VISTA PKWY
Second Line	:	STE 400
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6742
Country	:	US
Telephone Number	:	833-599-2560
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ELIEZER FRIEDMAN
Credential	:
Telephone Number	:	732-886-6202

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	03/10/2026

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Directions to “BRIDGES BEHAVIORAL THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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