MEDICARE: BUILDING BRIDGES ABA SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1851242093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUILDING BRIDGES ABA SERVICES LLC

Provider Business Mailing Address
First Line	:	5205 CHARLES HILL BLVD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5205 CHARLES HILL BLVD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2982
Country	:	US
Telephone Number	:	202-744-9872
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	THOMAS BATEMAN
Credential	:
Telephone Number	:	202-744-9872

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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