Blue Balloon PA LLC
NPI #1518563709 in Kearny, New Jersey
Provider Information
- NPI Number
- 1518563709
- Entity Type
- Organization
- Organization Name
- Blue Balloon PA LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 11, 2020
- Last Updated
- Dec 11, 2020
Practice Location
- Address
- 175 BELGROVE DR
- City
- Kearny
- State
- New Jersey
- ZIP Code
- 07032-1507
- Phone
- (201) 216-9500
Authorized Official
- Name
- DOVID SUSSMAN
- Title
- MEMBER
- Phone
- (201) 216-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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