Active NPI
Bridget Kaitlin Dame
- Behavior Analyst
- Fleming Island, FL
National Provider Identifier
1982167631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75901
- Practice address
- 2377 Market Dr
Fleming Island, FL 32003-4326 - Phone
- (904) 579-4779
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-75901 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2377 Market Dr
Fleming Island, FL 32003-4326
Mailing address
417 Commercial CT Ste C
Venice, FL 34292-1655
Phone (800) 356-4049
Other practice location 1
417 Commercial Ct Ste C
Venice, FL 34292-1655
Phone (800) 356-4049 ext. 80035
Other names 1
- Bridget Edison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Foundations Behavior Services | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Fleming Island, FL
- NPI 1659759629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1982167631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 COMMERCIAL CT STE C",
"city": "VENICE",
"state": "FL",
"postal_code": "342921655",
"telephone_number": "800-356-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2377 MARKET DR",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034326",
"telephone_number": "904-579-4779"
}
],
"practiceLocations": [
{
"address_1": "417 Commercial Ct Ste C",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342921655",
"country_code": "US",
"telephone_number": "800-356-4049 x80035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAME",
"first_name": "BRIDGET",
"middle_name": "KAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-75901",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "EDISON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.