KENYA BRIDGEFORTH
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1508589235- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7360 MCGINNIS FERRY RD STE 100, JOHNS CREEK, GA, 300247810
- Phone
- (866) 523-4268
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
DEPT. LA 22763
PASEDENA, CA, 91185