Organization
HYBRIDGE LEARNING GROUP MD LLC
Active
Other names
Hybridge Learning Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIL BROWN (CEO)
(855) 796-7518
Entity
Organization
Contact information
Practice address
210 W PENNSYLVANIA AVE STE 100, TOWSON, MD 21204-4507
(443) 470-3100
(908) 917-2552
Mailing address
PO BOX 5262, SOMERSET, NJ 08875-5262
(908) 917-2552
(908) 917-2552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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