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General NPI Number Information
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NPI Number | 1205131596
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Entity Type | Organization
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Legal Business Name | AUTISM BRIDGES LLC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2 COMMERCE DR
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City | BEDFORD
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State | NH
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Zip | 03110-6803
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Country | US
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Telephone | 603-471-2522
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Fax | 877-754-5246
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Provider Business Mailing Address
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Address Line | 535 8TH AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10018-2486
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Country | US
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Telephone | 603-471-2522
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES SPINK
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Credential |
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Telephone | 781-710-9545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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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