Organization
BLUE MOON ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LEA SAURYMPER (CEO)
(917) 439-5200
Entity
Organization
Contact information
Practice address
71 BATES RD, JACKSON, NJ 08527-2220
(917) 439-5200
Mailing address
71 BATES RD, JACKSON, NJ 08527-2220
(917) 439-5200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
10/16/2024
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