Blue Mountain Therapy, LLC

NPI #1497330401 in Abingdon, Virginia

Provider Information

NPI Number: 1497330401
Entity Type: Organization
Organization Name: Blue Mountain Therapy, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BLUE MOUNTAIN THERAPY
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 11, 2021
Last Updated: Sep 1, 2021

Practice Location

Address: 17507 LEE HWY
City: Abingdon
State: Virginia
ZIP Code: 24210-7835
Phone: (276) 525-6043

Authorized Official

Name: MELISSA HOPE HENDERSON
Title: HR
Phone: (276) 525-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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