- Practice location
- 175 Belgrove Dr, Kearny, NJ 07032-1507
- Phone
- 201-216-9500
- Fax
- —
- Last updated
- January 11, 2022
Blue Balloon VA LLC is a healthcare organization based in Kearny, NJ. Blue Balloon VA LLC practices in Kearny, NJ. The NPI Number for Blue Balloon VA LLC is 1194476283. The current practice location address for Blue Balloon VA LLC is 175 Belgrove Dr, Kearny, NJ 07032-1507 and can be reached out via phone at 201-216-9500.
Provider Profile Details
- NPI Number
- 1194476283
- Provider Name
- Blue Balloon VA LLC
- Provider Entity Type
- Organization
- Address
- 175 Belgrove Dr, Kearny, NJ 07032-1507
- Phone Number
- 201-216-9500
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- David Sussman · Member · 201-216-9500
- Provider Enumeration Date
- January 11, 2022
- Last Update Date
- January 11, 2022
- Certification Date
- January 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Belgrove Dr
Kearny, NJ 07032-1507 - City
- Kearny
- State
- New Jersey
- Zip
- 07032-1507
- 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
License Information
- Taxonomy (1)
- Psychologist · 103T00000X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (3)
- Occupational Therapist · 225X00000X
- Taxonomy (4)
- Speech-Language Pathologist, · 235Z00000X
- Taxonomy (5)
- Behavior Analyst · 103K00000X · Primary
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 VA LLC?
The NPI number of Blue Balloon VA LLC is 1194476283. It was assigned on January 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Blue Balloon VA LLC?
Blue Balloon VA LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Blue Balloon VA LLC practice?
The practice location is 175 Belgrove Dr, Kearny, NJ 07032-1507. 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 1194476283 directly on the NPPES registry website.