Purple Bridge Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PURPLE BRIDGE THERAPY LLC

Practice address

2121 S Green Rd Ste 202
South Euclid, OH 44121-3318

Phone

(216) 262-4700

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Gavriel Septon

Title

Ceo

Phone

(216) 262-4700

Specialties & licenses 3

Addresses

Other names 1

• Purple Bridge Therapy LLC Doing business as

Locations

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1750109070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S GREEN RD STE 202",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213318",
            "telephone_number": "216-262-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S GREEN RD STE 202",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213318",
            "telephone_number": "216-262-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE BRIDGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "SEPTON",
        "authorized_official_first_name": "GAVRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-262-4700"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purple Bridge Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.