| The Blue Center | |
|
20037 Silver Creek Ter Ashburn VA 20147-2258 | |
| (541) 316-8018 | |
| Not Available |
| Full Name | The Blue Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 20037 Silver Creek Ter, Ashburn, Virginia |
| Authorized Official Name and Position | Suzanne Cruz (DIRECTOR) |
| Authorized Official Contact | 5413168018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Blue Center 3236 Watermarke Pl Irvine CA 92612-5616 Ph: (541) 316-8018 | The Blue Center 20037 Silver Creek Ter Ashburn VA 20147-2258 Ph: (541) 316-8018 |
| NPI Number | 1063989630 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063989630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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