# BLUE MOUNTAIN ABA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598571317
- **Authorized official:** MALKA ROSENZWEIG (OPERATIONS)
- **Authorized official phone:** (518) 275-9654

## Contact information

- **Practice address:** 3410 N HIGH SCHOOL RD STE G, INDIANAPOLIS, IN 46224-1100
- **Practice address phone:** (516) 427-9582
- **Mailing address:** 1308 DINSMORE AVE, FAR ROCKAWAY, NY 11691-4753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2024
- **Last updated:** 12/09/2024