Bridge Aba

LBN: Bridge Aba
Bridge Aba is an health care organization with primary practice located at 900 Ellis Loop , Pocola OK 74902-2428. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Bridge Aba can be contacted via phone (479) 650-3802, or through Montgomery, William Keith via phone (479) 650-3802.

Contact Information

Primary practice address
900 Ellis Loop Pocola OK 74902-2428
Phone: (479) 650-3802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, William Keith MS BCBA
Phone: (479) 650-3802

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1447965280
LBN Legal business name Bridge Aba
DBA Doing business as
Authorized official Montgomery, William Keith MS BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2023
Last updated Jan 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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