Bluebird Aba LLC
NPI #1154805315 in Elkins Park, Pennsylvania
Provider Information
- NPI Number
- 1154805315
- Entity Type
- Organization
- Organization Name
- Bluebird Aba LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 23, 2018
- Last Updated
- Jan 6, 2021
Practice Location
- Address
- 8222 WESTMINSTER RD
- City
- Elkins Park
- State
- Pennsylvania
- ZIP Code
- 19027-1409
- Phone
- (215) 586-1865
Authorized Official
- Name
- SUSAN DEIKMAN, MS, BCBA, LBS
- Title
- MANAGING MEMBER
- Phone
- (215) 586-1865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Psychologist |
| Behavior Technician |
| Community/Behavioral Health |
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| MR. Corey Jamal Tucker |
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