| Bridgecare Aba Co Llc | |
|
350 Terry St., 200 Longmont CO 80501 | |
| (201) 676-2579 | |
| Not Available |
| Full Name | Bridgecare Aba Co Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 350 Terry St., 200, Longmont, Colorado |
| Authorized Official Name and Position | Mordechai Pomerantz (CO-FOUNDER) |
| Authorized Official Contact | 2016762579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgecare Aba Co Llc 3600 State Route 66 Suite 150 Neptune NJ 07753 Ph: (201) 676-2579 | Bridgecare Aba Co Llc 350 Terry St., 200 Longmont CO 80501 Ph: (201) 676-2579 |
| NPI Number | 1790524262 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790524262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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