Organization
BRIDGE THE GAP ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE MAC DONALD BCBA (GENERAL PARTNEWR)
(631) 312-0523
Entity
Organization
Contact information
Practice address
15 NEWMAN ST, PATCHOGUE, NY 11772-1118
(631) 312-0523
Mailing address
15 NEWMAN ST, PATCHOGUE, NY 11772-1118
(631) 312-0523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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