NPIMap

Organization Active NPI

Bridgeway ABA Therapy, LLC

  • Behavior Analyst
  • Prattville, AL
National Provider Identifier
1356926604
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIDGEWAY ABA THERAPY, LLC
Practice address
215 Deer Run Dr
Prattville, AL 36067-3835
Phone
(334) 363-3359
Fax
(334) 625-1853
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Mrs. Elizabeth F Corley, BCBANPI 1174080634
Title
Bcba
Phone
(334) 363-3359

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 Primary

Addresses

Primary practice location

215 Deer Run Dr
Prattville, AL 36067-3835

Mailing address

2751 Legends Pkwy Ste 102
Prattville, AL 36066-7754
Phone (334) 363-3359

Other names 1

  • Bridgeway ABA Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2751 Legends Pkwy
Prattville, AL 36066
Phone (478) 972-6008

Practitioners & affiliated clinicians

Practitioners 5

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": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1356926604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 LEGENDS PKWY STE 102",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667754",
            "telephone_number": "334-363-3359",
            "fax_number": "334-625-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DEER RUN DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673835",
            "telephone_number": "334-363-3359",
            "fax_number": "334-625-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "334-363-3359",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway ABA Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgeway ABA Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.