Organization
BUILDING BRIDGES THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLER M.ED., BCBA, LBA (OWNER)
(703) 507-9992
Entity
Organization
Contact information
Practice address
12523 WOODCOCK LN, OAK HILL, VA 20171-2502
(703) 507-9992
Mailing address
12523 WOODCOCK LN, OAK HILL, VA 20171-2502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0133000345
VA
Other
Enumeration date
06/09/2015
Last updated
05/25/2016
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