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Organization
BLUE MOUNTAIN THERAPY, LLC
Active
Organization
BLUE MOUNTAIN THERAPY, LLC
Active
Parent organization
BLUE MOUNTAIN THERAPY
Other names
Blue Mountain Therapy ABA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE MOUNTAIN THERAPY
Authorized official
MELISSA HOPE HENDERSON (HR)
(276) 525-4460
Entity
Organization
Contact information
Practice address
17507 LEE HWY, ABINGDON, VA 24210-7835
(276) 525-6043
Mailing address
17507 LEE HWY, ABINGDON, VA 24210-7835
(276) 525-6043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/11/2021
Last updated
09/01/2021
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