NPI 1073365243

Blue Balloon Indian Creek LLC

Organisation Behavior Analyst Beltsville, MD

Practice location

Address: 12240 Indian Creek CT STE 100, Beltsville, MD 20705-1242
Phone: (201) 216-9500
Mailing address: 175 Belgrove Dr, Kearny, NJ 07032-1507

Authorised official

Name: Mariam Newmark
Title: Clinical Director
Phone: (201) 216-9500

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Maryland →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

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Registry record

NPI: 1073365243
Entity type: Organization
NPI issued: 2 Apr 2024
Record last updated: 2 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.