The Bridge of Georgia Center Inc.

NPI #1861027690 in Monroe, Georgia

Provider Information

NPI Number: 1861027690
Entity Type: Organization
Organization Name: The Bridge of Georgia Center Inc.
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 12, 2020
Last Updated: Mar 12, 2020

Practice Location

Address: 109 BLAINE ST
City: Monroe
State: Georgia
ZIP Code: 30655-2403
Phone: (770) 406-6111

Authorized Official

Name: TAMILA BURT
Title: EXECUTIVE DIRECTOR
Phone: (770) 406-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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