Organization Active NPI

Brightbridge ABA Virginia LLC

  • Behavior Analyst
  • Woodmere, NY
National Provider Identifier
1225980337
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIGHTBRIDGE ABA VIRGINIA LLC
Practice address
10 Brower Ave 2ND Floor
Woodmere, NY 11598
Phone
(877) 309-1868
Fax
(336) 510-9974
NPI assigned
Feb 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Leonard Jeger
Title
Ceo
Phone
(877) 309-1868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10 Brower Ave 2ND Floor
Woodmere, NY 11598

Mailing address

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

National Provider Directory

National Provider Directory

Locations

10 Brower Ave
Ste 2
Woodmere, NY 11598

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1225980337",
    "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": "10 BROWER AVE 2ND FLOOR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "877-309-1868",
            "fax_number": "336-510-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTBRIDGE ABA VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "JEGER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-309-1868"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "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 19, 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.