Provider Demographics
NPI:1467088831
Name:DONAHOE, BRIDGET (MA, BCBA, LBA, COBA)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:DONAHOE
Suffix:
Gender:F
Credentials:MA, BCBA, LBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7990 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2262
Mailing Address - Country:US
Mailing Address - Phone:513-282-5789
Mailing Address - Fax:
Practice Address - Street 1:7990 PLANTATION DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2262
Practice Address - Country:US
Practice Address - Phone:513-282-5789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-18
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-21-52720103K00000X
KY273916103K00000X
OHRBT-20-110264106S00000X
OHCOBA.01105103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician