Behavior Bridge, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEHAVIOR BRIDGE, LLC

Practice address

8404 Wilsky Blvd Ste 122
Tampa, FL 33615-1515

Phone

(813) 446-2988

NPI assigned

Nov 27, 2024

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grettell Barreto MartinezNPI 1538855846

Title

Ceo

Phone

(813) 446-2988

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grettell Barreto Martinez

  • Behavior Technician
  • Tampa, FL
  • NPI 1538855846
  NPD Authorized official

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1275359853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 WILSKY BLVD STE 122",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-446-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 WILSKY BLVD STE 122",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-446-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR BRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "BARRETO MARTINEZ",
        "authorized_official_first_name": "GRETTELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-446-2988"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Tampa, FL
• Providers in Tampa, 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 27, 2024; 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.