BRIDGE PARTNERSHIP, LLC (NPI# 1710242870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710242870 |
| Entity Type | Organization |
| Organization Name | BRIDGE PARTNERSHIP, LLC |
| Practice Address |
2505 Black Rock Turnpike 2nd Floor Fairfield CT 06825 |
| Practice Telephone | 2032926949 |
| Mailing Telephone | 2032926949 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | MR. RICHARD PATRICK DOUGLAS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 2032926949 |
| Authorized Official Credential | BCABA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1-11-8521 | CT | Agencies |
| Y | 103K00000X | Behavioral Analyst | 0-14-5069 | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Bridge Partnership, LLC | 303 Linwood Avenue, Suite 2a, Fairfield, CT 06824 |
| Street Address |
2505 BLACK ROCK TURNPIKE 2ND FLOOR |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| 1588827653 | Valentine Edusa | Obstetrics & Gynecology | 2228 Black Rock Tpke Ste 211, Fairfield, CT 06825 | 2008-07-08 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750918 | Stephanie Lopez | Behavioral Analyst | 1403 Clementine Ln, Fairfield, CA 94533-8035 | 2019-06-27 |
| 1720562390 | Sara Jardin | Behavioral Analyst | 744 Empire St # 160, Fairfield, CA 94533-5562 | 2018-09-19 |
| 1316423700 | Moktar Michael Doumbia | Behavioral Analyst | 66 Barlow Ct, Fairfield, CA 94533-6736 | 2018-07-18 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1740772458 | Dina Pollard | Behavioral Analyst | 5173 Amberwood Cir, Fairfield, CA 94534-6850 | 2018-05-30 |
| 1073000626 | Melanie Varian | Behavioral Analyst | 292 Hemlock Hills Rd N, Fairfield, CT 06824-1869 | 2018-04-19 |
| 1396283362 | Jan Marie Brosas Vista | Behavioral Analyst | 420 Mountain Meadows Dr, Fairfield, CA 94534-6759 | 2017-02-09 |
| 1801331806 | Missyanne Sandoval | Behavioral Analyst | 801 Jefferson St Ste 4, Fairfield, CA 94533-5557 | 2016-12-29 |
| 1689120842 | Daniella Ponce | Behavioral Analyst | 616 Parisio Cir, Fairfield, CA 94534-6753 | 2016-08-28 |
| 1831643634 | Colleen Carlos | Behavioral Analyst | 2901 Willow Ct, Fairfield, CA 94533-7743 | 2016-08-09 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.