| Blue Balloon Aba | |
|
8601 Six Forks Road, Suite 400, Office 444 Raleigh NC 27615-5276 | |
| (551) 302-0306 | |
| Not Available |
| Full Name | Blue Balloon Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8601 Six Forks Road, Suite 400, Office 444, Raleigh, North Carolina |
| Authorized Official Name and Position | David Sussman (MEMBER) |
| Authorized Official Contact | 2012169500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Balloon Aba 175 Belgrove Dr Kearny NJ 07032-1507 Ph: () - | Blue Balloon Aba 8601 Six Forks Road, Suite 400, Office 444 Raleigh NC 27615-5276 Ph: (551) 302-0306 |
| NPI Number | 1235880329 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235880329 | NPI | - | NPPES |
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