| Blue Balloon Aba | |
|
12240 Indian Creek Ct Ste 100 Beltsville MD 20705-1242 | |
| (201) 216-9500 | |
| Not Available |
| Full Name | Blue Balloon Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12240 Indian Creek Ct Ste 100, Beltsville, Maryland |
| Authorized Official Name and Position | Miriam Newmark (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2012169500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Balloon Aba 12240 Indian Creek Ct Ste 100 Beltsville MD 20705-1242 Ph: (201) 216-9500 | Blue Balloon Aba 12240 Indian Creek Ct Ste 100 Beltsville MD 20705-1242 Ph: (201) 216-9500 |
| NPI Number | 1528826500 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528826500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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