# BRIDGEWAY ABA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144182726
- **Authorized official:** KHADAR MOHAMED (CEO)
- **Authorized official phone:** (720) 999-2993

## Contact information

- **Practice address:** 3296 WESTERVILLE RD \# 1039, COLUMBUS, OH 43224-3790
- **Practice address phone:** (720) 999-2993
- **Mailing address:** 3296 WESTERVILLE RD \# 1039, COLUMBUS, OH 43224-3790
- **Mailing address phone:** (720) 999-2993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2025
- **Last updated:** 12/02/2025