Bridget Conquest

Behavior Analyst · Port Orange, FL

Individual Active NPI

NPI number 1164054854

Practice location

4647 Clyde Morris Blvd
Port Orange, FL 32129-3000
Phone
(386) 767-3752

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NPI record

NPI
1164054854
Entity type
Individual (Type 1)
Enumeration date
February 10, 2020
Last updated
October 18, 2024
Certified
October 18, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-24-76645 FL
Assistant Behavior Analyst 106E00000X 0-24-15068 FL
Behavior Technician 106S00000X — FL
Developmental Therapist 222Q00000X — FL
Developmental Therapist 222Q00000X — —

Mailing address

356 Western Rd
New Smyrna Beach, FL 32168-8969
Phone
(908) 965-5220

About Bridget Conquest

Bridget Conquest is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4647 Clyde Morris Blvd, Port Orange, FL 32129-3000. The NPI number 1164054854 was assigned on February 10, 2020 and the record was last updated on October 18, 2024.

Bridget Conquest lists 2 licenses in the registry: #1-24-76645 (FL) for Behavior Analyst; #0-24-15068 (FL) for Assistant Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bridget Conquest?

The NPI number is 1164054854.

What is the phone number of Bridget Conquest?

The phone number listed for the practice location is (386) 767-3752.

Where is Bridget Conquest located?

4647 Clyde Morris Blvd, Port Orange, FL 32129-3000.

What is the taxonomy code for Bridget Conquest?

The primary taxonomy code is 103K00000X – Behavior Analyst; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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