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Organization

PIVOTAL BEHAVIORAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BIDEMI BALOGUN MS, BCBA, LBA (CEO)
(202) 492-6575
Entity
Organization

Contact information

Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(202) 492-6575
(737) 587-0175
Mailing address
13704 THOMAS WHEELER WAY, MANOR, TX 78653-2685
(202) 492-6575

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/25/2025
Last updated
08/26/2025
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