| Blue Jay Aba Nc Llc | |
|
8601 Six Forks Rd Ste 400 Raleigh NC 27615-2965 | |
| (888) 813-2583 | |
| Not Available |
| Full Name | Blue Jay Aba Nc Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8601 Six Forks Rd Ste 400, Raleigh, North Carolina |
| Authorized Official Name and Position | Mordy R (DIRECTOR) |
| Authorized Official Contact | 8888132583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Jay Aba Nc Llc Po Box 660 Lakewood NJ 08701-0660 Ph: (888) 813-2583 | Blue Jay Aba Nc Llc 8601 Six Forks Rd Ste 400 Raleigh NC 27615-2965 Ph: (888) 813-2583 |
| NPI Number | 1851146922 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851146922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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