Healthcare Provider Details

I. General information

NPI: 1205131596
Provider Name (Legal Business Name): AUTISM BRIDGES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COMMERCE DR
BEDFORD NH
03110-6803
US

IV. Provider business mailing address

535 8TH AVE FL 9
NEW YORK NY
10018-2486
US

V. Phone/Fax

Practice location:
  • Phone: 603-471-2522
  • Fax: 877-754-5246
Mailing address:
  • Phone: 603-471-2522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JAMES SPINK
Title or Position: CEO
Credential:
Phone: 781-710-9545