Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BLUE BALLOON INDIAN CREEK LLC
Active
Organization
BLUE BALLOON INDIAN CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAM NEWMARK M.ED, BCBA, LBA (CLINICAL DIRECTOR)
(201) 216-9500
Entity
Organization
Contact information
Practice address
12240 INDIAN CREEK CT STE 100, BELTSVILLE, MD 20705-1242
(201) 216-9500
Mailing address
175 BELGROVE DR, KEARNY, NJ 07032-1507
(201) 216-9500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up