Provider Demographics
NPI:1952998411
Name:CROSSING BRIDGES ABA THERAPY LLC
Entity Type:Organization
Organization Name:CROSSING BRIDGES ABA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SALVATO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:908-578-0564
Mailing Address - Street 1:284 MEETINGHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-1307
Mailing Address - Country:US
Mailing Address - Phone:908-578-0564
Mailing Address - Fax:
Practice Address - Street 1:284 MEETINGHOUSE LN
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-1307
Practice Address - Country:US
Practice Address - Phone:908-578-0564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health