Individual
MR. MARVIN TIMOTHY BLUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
300 PEACHTREE ST NE STE CS2, ATLANTA, GA 30308-3565
(678) 855-6388
Mailing address
3510 ROSWELL RD NW APT F3, ATLANTA, GA 30305-1219
(678) 815-5277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/10/2020
Last updated
07/24/2025
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