| Brain Bridge Aba, Llc | |
|
1098 Provence Pl New Braunfels TX 78132 | |
| (719) 439-0029 | |
| (210) 855-7844 |
| Full Name | Brain Bridge Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1098 Provence Pl, New Braunfels, Texas |
| Authorized Official Name and Position | Megan Suermann (BEHAVIOR ANALYST) |
| Authorized Official Contact | 7194390029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Bridge Aba, Llc 1098 Provence Pl New Braunfels TX 78132 Ph: (719) 439-0029 | Brain Bridge Aba, Llc 1098 Provence Pl New Braunfels TX 78132 Ph: (719) 439-0029 |
| NPI Number | 1962868331 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962868331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11416807 (Colorado) | Primary |
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