Individual provider · Type 1 NPI

Kelly Ann Bridgeforth

Behavior Analyst · Mesa, AZ

NPI number 1821581695 Active

Practice location

9221 E Baseline Rd Ste 109
Mesa, AZ 85209-8314

Call (805) 325-1421 Map

Fax (480) 895-9889

Mailing address

2730 S Valle Verde
Mesa, AZ 85209-7886

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	BEH-000349 (AZ)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1821581695

Kelly Ann Bridgeforth's National Provider Identifier is 1821581695, issued on Jun 7, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 7, 2018.