Organization Active NPI

Brightbridge ABA Illinois LLC

  • Behavior Analyst
  • Woodmere, NY
National Provider Identifier
1215869391
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIGHTBRIDGE ABA ILLINOIS LLC
Practice address
743 Central Ave
Woodmere, NY 11598-2614
Phone
(877) 309-1868
Fax
(336) 510-9974
NPI assigned
Jun 2, 2026
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leonard Elliot Jeger
Title
Ceo
Phone
(336) 510-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

743 Central Ave
Woodmere, NY 11598-2614

Mailing address

743 Central Ave
Woodmere, NY 11598-2614
Phone (877) 309-1868

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1215869391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 CENTRAL AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982614",
            "telephone_number": "877-309-1868",
            "fax_number": "336-510-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 CENTRAL AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982614",
            "telephone_number": "877-309-1868",
            "fax_number": "336-510-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTBRIDGE ABA ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "JEGER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-510-7910"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.