| Blue Dragon Aba, Llc | |
|
2111 S 67th St Ste 300 Omaha NE 68106-2882 | |
| (402) 819-5140 | |
| Not Available |
| Full Name | Blue Dragon Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2111 S 67th St Ste 300, Omaha, Nebraska |
| Authorized Official Name and Position | Gershon Fink (OWNER/ CEO) |
| Authorized Official Contact | 7865211587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Dragon Aba, Llc 3921 Alton Rd Unit 107 Miami Beach FL 33140-3852 Ph: (786) 521-1587 | Blue Dragon Aba, Llc 2111 S 67th St Ste 300 Omaha NE 68106-2882 Ph: (402) 819-5140 |
| NPI Number | 1689365140 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689365140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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