MEDICARE: BRIDGECARE ABA SD LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1881449221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGECARE ABA SD LLC

Provider Business Mailing Address
First Line	:	3600 STATE ROUTE 66 STE 150
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-2645
Country	:	US
Telephone Number	:	201-676-2579
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S REID ST STE 307
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-7045
Country	:	US
Telephone Number	:	201-676-2579
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MORDECHAI POMERANTZ
Credential	:
Telephone Number	:	201-676-2579

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	03/10/2026

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