Active NPI
Bridge Resilience, LLC
- Behavior Analyst
- Boynton Beach, FL
National Provider Identifier
1447861935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BRIDGE RESILIENCE, LLC
- Practice address
- 1499 S Federal Hwy Unit 119
Boynton Beach, FL 33435-6074 - Phone
- (561) 739-8095
- NPI assigned
- Aug 10, 2020
- Last updated
- Aug 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karline Nazzaro, BCBA
- Title
- Owner
- Phone
- (561) 739-8095
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
1499 S Federal Hwy Unit 119
Boynton Beach, FL 33435-6074
Mailing address
1499 S Federal Hwy Unit 119
Boynton Beach, FL 33435-6074
Phone (561) 739-8095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100813000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Behavior Analyst
- Boynton Beach, FL
- NPI 1417355611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1447861935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 S FEDERAL HWY UNIT 119",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334356074",
"telephone_number": "561-739-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 S FEDERAL HWY UNIT 119",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334356074",
"telephone_number": "561-739-8095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE RESILIENCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "NAZZARO",
"authorized_official_first_name": "KARLINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-739-8095",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100813000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
- Kenneth E. Bresky, D.O.
- Ralph Barry Breslaw, MD
- Brett R. Hutton, M.D., P.a. (The Arthritis Center of the Palm Beaches)
- Breuer Health of Boynton Beach
- Brian Mattison DPM PA
- Bridge to Unity Intervention & Recovery Services LLC
- Bridgecare Clinic
- Bridgecare Clinical Services, LLC
- Bridgeview Counseling Group LLC
- Jill Brigham, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.