Bridge the Divide LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIDGE THE DIVIDE LLC

Practice address

10560 Browning Rd
Lithia, FL 33547-3853

Phone

(813) 966-5453

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Baldwin Dernion Sterling

Title

Ceo

Phone

(813) 966-5453

Specialties & licenses 1

Addresses

Other names 1

• Success On The Spectrum Fishhawk Doing business as

Locations

Practitioners 2

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

• Kristine Mina Minteer, BCBA

  • Behavior Analyst
  • Lithia, FL
  • NPI 1902380066
  NPD
• Naomi Parra

  • Behavior Technician
  • Lithia, FL
  • NPI 1043102676
  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1396553376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 BROWNING RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473853",
            "telephone_number": "813-966-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 BROWNING RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473853",
            "telephone_number": "813-966-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE THE DIVIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "BALDWIN",
        "authorized_official_middle_name": "DERNION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-966-5453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success On The Spectrum Fishhawk",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Success On The Spectrum Fishhawk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassidy Blacha, PA-C
• Anastasia Bobet
• Kailyn Bonner
• Rochelle Latia Boswell
• Christopher Lee Boudreau
• Brighter Achievements ABA LLC
• Minniecia Jonaye' Brinson-Carpenter
• Sherry Littlepage Brodersen, PHARMD
• Deanna Jane Broome
• Beth Ann Brown, COTA

• Behavior Analyst in Lithia, FL
• Providers in Lithia, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.