KELLY ANN BRIDGEFORTH NPI 1821581695

NPI Information

  • NPI: 1821581695
  • Provider Name: KELLY ANN BRIDGEFORTH
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Individual
  • Address: 9221 E BASELINE RD STE 109
    MESA, AZ
    ZIP 85209
  • Phone: (805) 325-1421

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NPI Details

Kelly Ann Bridgeforth is a behavior analyst in Mesa, AZ. The provider is 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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Kelly Ann Bridgeforth NPI is 1821581695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9221 E BASELINE RD STE 109
MESA, AZ
ZIP 85209-314
Phone: (805) 325-1421
Fax: (480) 895-9889

The enumeration date for this NPI number is 6/7/2018 and was last updated on 6/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystBEH-000349ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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