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General NPI Number Information
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NPI Number | 1043907132
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Entity Type | Organization
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Legal Business Name | BRIDGECARE ABA NJ LLC
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3600 STATE ROUTE 66 STE 150
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City | NEPTUNE
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 201-676-2579
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 STATE ROUTE 66 STE 150
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City | NEPTUNE
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 201-676-2579
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | ALAN HOLLANDER
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Credential |
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Telephone | 201-676-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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