Provider Demographics
NPI:1437681665
Name:HYBRIDGE LEARNING GROUP
Entity Type:Organization
Organization Name:HYBRIDGE LEARNING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:908-917-2552
Mailing Address - Street 1:100 FRANKLIN SQUARE DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4109
Mailing Address - Country:US
Mailing Address - Phone:908-917-2552
Mailing Address - Fax:908-271-7110
Practice Address - Street 1:55 SCHANCK RD
Practice Address - Street 2:SUITE A-8
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2964
Practice Address - Country:US
Practice Address - Phone:732-702-2018
Practice Address - Fax:908-271-7110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty