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General NPI Number Information
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NPI Number | 1639869787
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Entity Type | Organization
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Legal Business Name | BRIDGECARE ABA NM LLC
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 500 MARQUETTE AVE NW STE 1200
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-5312
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Country | US
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Telephone | 505-209-2585
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Fax | 201-676-2580
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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 | 505-209-2585
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Fax | 201-676-2580
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Authorized Official
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Title or Position | CEO
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Name | MR. MORDECHAI POMERANTZ
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Credential |
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Telephone | 505-209-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral 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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