| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRIDGET EDISON | 1982167631 | 2019-04-10 |
Bridget Edison is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982167631. Registration indicates Bridget Edison is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Bridget Edison |
| Practice Office Address | 2377 MARKET DR FLEMING ISLAND, FL US |
| Practice Office Telephone | 9045794779 |
| Mailing Address | 417 COMMERCIAL CT STE C VENICE, FL 342921655 US |
| Business Telephone | 8003564049 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 417 Commercial Ct Ste C | Venice, FL 342921655 | 8003564049 80035 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-24-75901
FL |