Organization
BUILDING BRIDGES BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY BRUNSON (DIRECTOR OF OPERATIONS)
(848) 218-3534
Entity
Organization
Contact information
Practice address
1706 CORLIES AVE STE 2, NEPTUNE, NJ 07753
(732) 708-2847
Mailing address
1706 CORLIES AVE STE 2, NEPTUNE, NJ 07753-4977
(732) 361-7041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0589080
—
NJ
Enumeration date
11/06/2015
Last updated
07/10/2019
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