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Organization
BLUE BLOCKS LLC
Active
Organization
BLUE BLOCKS LLC
Active
Parent organization
BLUE BALLOON MD LLC
Other names
Blue Balloon ABA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE BALLOON MD LLC
Authorized official
MS. MIRIAM 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
12240 INDIAN CREEK CT STE 100, BELTSVILLE, MD 20705-1242
(201) 216-9500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
03/13/2024
Last updated
03/28/2024
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