# HYBRIDGE LEARNING GROUP MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hybridge Learning Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295353332
- **Authorized official:** JAMIL BROWN (CEO)
- **Authorized official phone:** (855) 796-7518

## Contact information

- **Practice address:** 210 W PENNSYLVANIA AVE STE 100, TOWSON, MD 21204-4507
- **Practice address phone:** (443) 470-3100
- **Practice address fax:** (908) 917-2552
- **Mailing address:** PO BOX 5262, SOMERSET, NJ 08875-5262
- **Mailing address phone:** (908) 917-2552
- **Mailing address fax:** (908) 917-2552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/06/2020
- **Last updated:** 07/06/2020