| Bridging Autism | |
|
140 Hathaway Ave Elmont NY 11003-2048 | |
| (917) 518-8965 | |
| Not Available |
| Full Name | Bridging Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 140 Hathaway Ave, Elmont, New York |
| Authorized Official Name and Position | Vivian Marie Barrett (CEO) |
| Authorized Official Contact | 9175188965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Autism 140 Hathaway Ave Elmont NY 11003-2048 Ph: (917) 518-8965 | Bridging Autism 140 Hathaway Ave Elmont NY 11003-2048 Ph: (917) 518-8965 |
| NPI Number | 1881587079 |
|---|---|
| Provider Enumeration Date | 05/29/2025 |
| Last Update Date | 05/29/2025 |
| Certification Date | 05/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881587079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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