Bridge ABA

Behavior Analyst · Pocola, OK

Organization Active NPI

NPI number 1447965280

Practice location

900 Ellis Loop
Pocola, OK 74902-2428
Phone
(479) 650-3802

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NPI record

NPI
1447965280
Entity type
Organization (Type 2)
Enumeration date
January 17, 2023
Last updated
January 30, 2023
Certified
January 30, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Behavior Technician 106S00000X — —

Mailing address

6502 Hilltop Rd
Van Buren, AR 72956-7604
Phone
(479) 650-3802

Authorized official

Name
William Keith Montgomery, MS BCBA
Title
Owner/Bcba
Phone
(479) 650-3802

About Bridge ABA

Bridge ABA is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 900 Ellis Loop, Pocola, OK 74902-2428. The NPI number 1447965280 was assigned on January 17, 2023 and the record was last updated on January 30, 2023.

The authorized official for this organization is William Keith Montgomery, MS BCBA, Owner/Bcba.

Frequently asked questions

What is the NPI number of Bridge ABA?

The NPI number is 1447965280.

What is the phone number of Bridge ABA?

The phone number listed for the practice location is (479) 650-3802.

Where is Bridge ABA located?

900 Ellis Loop, Pocola, OK 74902-2428.

What is the taxonomy code for Bridge ABA?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 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.