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Organization
BLUE RIVER LEARNING CENTER, LLC
Active
Organization
BLUE RIVER LEARNING CENTER, LLC
Active
Other names
Blue River Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY JAMES DONALD LBA (OWNER)
(540) 470-1405
Entity
Organization
Contact information
Practice address
3920 PLANK RD STE 210, FREDERICKSBURG, VA 22407-7104
(540) 470-1405
Mailing address
3920 PLANK RD STE 210, FREDERICKSBURG, VA 22407-7104
(540) 470-1405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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