Provider Demographics
NPI:1821772666
Name:BBG LTD.
Entity Type:Organization
Organization Name:BBG LTD.
Other - Org Name:INCLUSIVE INNOVATIONS LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-423-3447
Mailing Address - Street 1:3555 DESERT RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8467
Mailing Address - Country:US
Mailing Address - Phone:240-421-4126
Mailing Address - Fax:
Practice Address - Street 1:3555 DESERT RIDGE CIR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-8467
Practice Address - Country:US
Practice Address - Phone:240-421-4126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health