| Bridgecare Aba Nm Llc | |
|
500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 | |
| (505) 209-2585 | |
| (201) 676-2580 |
| Full Name | Bridgecare Aba Nm Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 500 Marquette Ave Nw Ste 1200, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mordechai Pomerantz (CEO) |
| Authorized Official Contact | 5052092585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgecare Aba Nm Llc 3600 Route 66 Ste 150 Neptune NJ 07753-2645 Ph: (505) 209-2585 | Bridgecare Aba Nm Llc 500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 Ph: (505) 209-2585 |
| NPI Number | 1639869787 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639869787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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