NPI 1154249142 · live from the CMS NPI Registry
Bridgecare Aba Ia LLC
Behavior Analyst in Davenport, IA. National Provider Identifier 1154249142, active.
NPI record
| NPI | 1154249142 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4620 E 53rd St, Davenport, IA 52807 |
| Practice phone | 201-676-2579 |
| Mailing address | 3600 Route 66 Ste 150, Neptune, NJ 07753 |
| Enumerated | July 7, 2026 |
| Last updated | July 7, 2026 |
| Authorized official | Mordechai Pomerantz, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.