| Brightbridge Aba LLC | |
|
743 Central Ave Woodmere NY 11598-2614 | |
| (347) 268-4827 | |
| Not Available |
| Full Name | Brightbridge Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 743 Central Ave, Woodmere, New York |
| Authorized Official Name and Position | Leonard Jeger (CEO) |
| Authorized Official Contact | 3472684827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightbridge Aba LLC 743 Central Ave Woodmere NY 11598-2614 Ph: (516) 510-9869 | Brightbridge Aba LLC 743 Central Ave Woodmere NY 11598-2614 Ph: (347) 268-4827 |
| NPI Number | 1376377606 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376377606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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