Organization
COREBRIDGE ABA INC
Active
Organization
COREBRIDGE ABA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MITCHELL POTTER BCBA (CONSUTANT)
(201) 978-3815
Entity
Organization
Contact information
Practice address
333 E GLENOAKS BLVD STE 101, GLENDALE, CA 91207-2096
(323) 533-3777
Mailing address
333 E GLENOAKS BLVD STE 101, GLENDALE, CA 91207-2096
(323) 533-3777
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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