Blue Moon Aba LLC
NPI #1457189805 in Jackson, New Jersey
Provider Information
- NPI Number
- 1457189805
- Entity Type
- Organization
- Organization Name
- Blue Moon Aba LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jul 25, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 71 BATES RD
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2220
- Phone
- (917) 439-5200
Authorized Official
- Name
- SARA LEA SAURYMPER
- Title
- CEO
- Phone
- (917) 439-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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