Organization Active NPI

Bridge Resilience, LLC

  • Behavior Analyst
  • Boynton Beach, FL
National Provider Identifier
1447861935
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Karline Nazzaro, BCBANPI 1417355611
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100813000MedicaidFL

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, and the practitioner matching its NPPES authorized official.

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

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.

Verify at the official NPI Registry.