Bridget J Caron, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1073630 Issued in FL

Practice address

1409 Kingsley Ave Ste 1C
Orange Park, FL 32073-4532

Phone

(904) 662-0289

NPI assigned

Nov 5, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Builders, LLC

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1871939280
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1013244458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAIRWAY PARK BLVD UNIT 1008",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822623",
            "telephone_number": "904-662-0289",
            "fax_number": "904-269-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE STE 1C",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734532",
            "telephone_number": "904-662-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "BRIDGET",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1073630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana L. Carey, ARNP
• Caroline Elizabeth Carlin
• Carlos L. Esquivia-Munoz, M.D.P.a.
• Cheryl Carlyon, L.M.H.C.
• Carole J Crane PHD PA
• Elizabeth Igras Carpenter
• Gregory Carr, PT
• Anisleisy Carrillo Machado
• Amesha Synora Carswell, CAP
• Ashtyn Carter

• Behavior Analyst in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.