| Blue Balloon Va Llc | |
|
175 Belgrove Dr Kearny NJ 07032-1507 | |
| (201) 216-9500 | |
| Not Available |
| Full Name | Blue Balloon Va Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 175 Belgrove Dr, Kearny, New Jersey |
| 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 Va Llc 175 Belgrove Dr Kearny NJ 07032-1507 Ph: () - | Blue Balloon Va Llc 175 Belgrove Dr Kearny NJ 07032-1507 Ph: (201) 216-9500 |
| NPI Number | 1194476283 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194476283 | NPI | - | NPPES |
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