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General NPI Number Information
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NPI Number | 1295684793
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Entity Type | Organization
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Legal Business Name | BRIGHTBRIDGE ABA ARIZONA LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 300 W CLARENDON AVE FL 3
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City | PHOENIX
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State | AZ
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Zip | 85013-3420
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Country | US
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Telephone | 877-309-1868
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Fax |
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Provider Business Mailing Address
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Address Line | 743 CENTRAL AVE
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City | WOODMERE
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State | NY
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Zip | 11598-2614
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEONARD JEGER
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Credential |
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Telephone | 877-309-1868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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