BRIDGE THE DIVIDE LLC - NPI 1396553376 - Behavior Analyst in Lithia, FL

Q: What is Bridge The Divide LLC's NPI number?

The NPI number for Bridge The Divide LLC is 1396553376. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as Success On The Spectrum Fishhawk.

Q: What is Bridge The Divide LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

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About Bridge The Divide Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE THE DIVIDE LLC (NPI 1396553376), doing business as Success On The Spectrum Fishhawk, is a healthcare organization registered as a behavior analyst in Lithia, Florida and active in the NPI registry since December 2024. The organization lists Baldwin Dernion Sterling, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396553376

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameBRIDGE THE DIVIDE LLC

Location Address10560 BROWNING RDLithia, FL 33547-3853

Mailing Address10560 Browning RdLithia, FL 33547-3853 · (813) 966-5453

Phone(813) 966-5453

Organization SubpartNo

Authorized OfficialBaldwin Dernion SterlingCeo · (813) 966-5453

Enumeration DateDecember 23, 2024

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1396553376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

10560 BROWNING RD, Lithia, FL 33547

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Other Names 1

Doing Business AsSuccess On The Spectrum Fishhawk

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAOMI PARRA

Behavior Technician