Blue Balloon Indian Creek LLC
Behavior Analyst in Beltsville, Maryland
1073365243- Practice location
- 12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242
- Phone
- 201-216-9500
- Fax
- —
- Last updated
- April 2, 2024
Blue Balloon Indian Creek LLC is a healthcare organization based in Beltsville, MD. Blue Balloon Indian Creek LLC practices in Beltsville, MD. The NPI Number for Blue Balloon Indian Creek LLC is 1073365243. The current practice location address for Blue Balloon Indian Creek LLC is 12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242 and can be reached out via phone at 201-216-9500.
Provider Profile Details
- NPI Number
- 1073365243
- Provider Name
- Blue Balloon Indian Creek LLC
- Provider Entity Type
- Organization
- Address
- 12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242
- Phone Number
- 201-216-9500
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Mariam Newmark, MED, BCBA, LBA · Clinical Director · 201-216-9500
- Provider Enumeration Date
- April 2, 2024
- Last Update Date
- April 2, 2024
- Certification Date
- April 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12240 Indian Creek CT Ste 100
Beltsville, MD 20705-1242 - City
- Beltsville
- State
- Maryland
- Zip
- 20705-1242
- Phone Number
- 201-216-9500
Provider Business Mailing Address Details
- Address
- 175 Belgrove Dr
Kearny, NJ 07032-1507 - City
- Kearny
- State
- NJ
- Zip
- 07032-1507
- Phone Number
- 201-216-9500
License Information
- Taxonomy (1)
- Behavior Analyst · 103K00000X · Primary
- Taxonomy (2)
- Psychologist · 103T00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blue Balloon Indian Creek LLC?
The NPI number of Blue Balloon Indian Creek LLC is 1073365243. It was assigned on April 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Blue Balloon Indian Creek LLC?
Blue Balloon Indian Creek LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Blue Balloon Indian Creek LLC practice?
The practice location is 12240 Indian Creek CT Ste 100, Beltsville, MD 20705-1242. The office can be reached at 201-216-9500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073365243 directly on the NPPES registry website.