Provider Demographics
NPI:1831471333
Name:BRIDGING PIECES
Entity Type:Organization
Organization Name:BRIDGING PIECES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-521-9180
Mailing Address - Street 1:22 WESTLAND ST
Mailing Address - Street 2:#39
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-1762
Mailing Address - Country:US
Mailing Address - Phone:508-521-9180
Mailing Address - Fax:
Practice Address - Street 1:22 WESTLAND ST
Practice Address - Street 2:#39
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1762
Practice Address - Country:US
Practice Address - Phone:508-521-9180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty