NPIMap

Organization Active NPI

Bridges Behavioral Consulting

  • Behavior Analyst
  • Fernandina Beach, FL
National Provider Identifier
1275924276
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-8789 Issued in FL
Legal business name
BRIDGES BEHAVIORAL CONSULTING
Practice address
1838 Perimeter Park Rd
Fernandina Beach, FL 32034-1975
Phone
(904) 753-0701
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Mr. Philip Warren Kinard, M.ED, BCBANPI 1215337449
Title
Owner
Phone
(904) 753-0701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-11-8789 FL Primary

Addresses

Primary practice location

1838 Perimeter Park Rd
Fernandina Beach, FL 32034-1975

Mailing address

1838 Perimeter Park Rd
Fernandina Beach, FL 32034-1975
Phone (904) 753-0701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1275924276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 PERIMETER PARK RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341975",
            "telephone_number": "904-753-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 PERIMETER PARK RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341975",
            "telephone_number": "904-753-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "KINARD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-753-0701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-11-8789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.