Provider Demographics
NPI:1013530708
Name:BUG AND BEAR DESIGNS LLC
Entity type:Organization
Organization Name:BUG AND BEAR DESIGNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:KIRSCHNER
Authorized Official - Last Name:KAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-542-0273
Mailing Address - Street 1:102 N MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2350
Mailing Address - Country:US
Mailing Address - Phone:561-542-0273
Mailing Address - Fax:
Practice Address - Street 1:516 BLOOMFIELD AVE STE 2
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3416
Practice Address - Country:US
Practice Address - Phone:561-542-0273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty