Most Relevant Information
Provider Data
| NPI Number: | 1003351354 |
| Provider Name: | TIFFANY DANIELLE BRIDGERS BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 0133000902 |
Most Important Dates
| Enumeration Date: | 12/22/2016 |
| Last Updated: | 10/20/2021 |
Provider Practice Location
1500 S DOUGLAS RD STE 230
CORAL GABLES
FL
331344108
Practice Location Phone/Fax
| Phone: | 3053966809 |
| Fax: |
Provider Mailing Location
1500 S DOUGLAS RD STE 230
CORAL GABLES
FL
331344108
Provider Mailing Phone/Fax
| Phone: | 3053966809 |
| Fax: |