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General NPI Number Information
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NPI Number | 1518821842
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Entity Type | Organization
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Legal Business Name | BRIDGECARE ABA MD LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3901 CALVERTON BLVD
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City | CALVERTON
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State | MD
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Zip | 20705-3407
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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 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 |
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Fax |
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Authorized Official
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Title or Position | CO- DIRECTOR
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Name | MORDECHAI POMERANTZ
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 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 #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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