- Practice location
- 420 Monticello Ave, Norfolk, VA 23510-0007
- Phone
- 305-409-8359
- Fax
- —
- Last updated
- November 8, 2022
Blue Pony Aba LLC is a healthcare organization based in Norfolk, VA. Blue Pony Aba LLC practices in Norfolk, VA. The NPI Number for Blue Pony Aba LLC is 1235847310. The current practice location address for Blue Pony Aba LLC is 420 Monticello Ave, Norfolk, VA 23510-0007 and can be reached out via phone at 305-409-8359.
Provider Profile Details
- NPI Number
- 1235847310
- Provider Name
- Blue Pony Aba LLC
- Provider Entity Type
- Organization
- Address
- 420 Monticello Ave, Norfolk, VA 23510-0007
- Phone Number
- 305-409-8359
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Yehuda Gittleson · Cfo · 305-409-8359
- Provider Enumeration Date
- November 8, 2022
- Last Update Date
- November 8, 2022
- Certification Date
- November 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Monticello Ave
Norfolk, VA 23510-0007 - City
- Norfolk
- State
- Virginia
- Zip
- 23510-0007
- Phone Number
- 305-409-8359
Provider Business Mailing Address Details
- Address
- 59 Nugent Dr
Clifton, NJ 07012-1705 - City
- Clifton
- State
- NJ
- Zip
- 07012-1705
License Information
- Taxonomy (1)
- Assistant Behavior Analyst · 106E00000X
- Taxonomy (2)
- Behavior Technician · 106S00000X
- Taxonomy (3)
- 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 Pony Aba LLC?
The NPI number of Blue Pony Aba LLC is 1235847310. It was assigned on November 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Blue Pony Aba LLC?
Blue Pony Aba LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Blue Pony Aba LLC practice?
The practice location is 420 Monticello Ave, Norfolk, VA 23510-0007. The office can be reached at 305-409-8359 (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 1235847310 directly on the NPPES registry website.