Blue Balloon MD LLC
NPI #1780280404 in Owings Mills, Maryland
Provider Information
- NPI Number
- 1780280404
- Entity Type
- Organization
- Organization Name
- Blue Balloon MD LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 8, 2020
- Last Updated
- Jun 16, 2021
Practice Location
- Address
- 500 REDLAND CT STE 102
- City
- Owings Mills
- State
- Maryland
- ZIP Code
- 21117-3265
- Phone
- (201) 216-9500
Authorized Official
- Name
- DAVID SUSSMAN
- Title
- COO
- Phone
- (201) 216-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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