- Practice location
- 175 Belgrove Dr, Kearny, NJ 07032-1507
- Phone
- 551-302-0306
- Fax
- —
- Last updated
- November 4, 2022
Blue Balloon Az LLC is a healthcare organization based in Kearny, NJ. Blue Balloon Az LLC practices in Kearny, NJ. The NPI Number for Blue Balloon Az LLC is 1376250787. The current practice location address for Blue Balloon Az LLC is 175 Belgrove Dr, Kearny, NJ 07032-1507 and can be reached out via phone at 551-302-0306.
Provider Profile Details
- NPI Number
- 1376250787
- Provider Name
- Blue Balloon Az LLC
- Provider Entity Type
- Organization
- Address
- 175 Belgrove Dr, Kearny, NJ 07032-1507
- Phone Number
- 551-302-0306
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- David Sussman · Member · 201-216-9500
- Other Names
- Blue Balloon Aba (Doing Business As)
- Provider Enumeration Date
- November 4, 2022
- Last Update Date
- November 4, 2022
- Certification Date
- November 2, 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
- 551-302-0306
Provider Business Mailing Address Details
- Address
- 175 Belgrove Dr
Kearny, NJ 07032-1507 - City
- Kearny
- State
- NJ
- Zip
- 07032-1507
- Phone Number
- 551-302-0306
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 Az LLC?
The NPI number of Blue Balloon Az LLC is 1376250787. It was assigned on November 4, 2022 and is currently active in the NPPES registry.
What is the specialty of Blue Balloon Az LLC?
Blue Balloon Az LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Blue Balloon Az LLC practice?
The practice location is 175 Belgrove Dr, Kearny, NJ 07032-1507. The office can be reached at 551-302-0306 (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 1376250787 directly on the NPPES registry website.