Organization
BLUE MOUNTAIN ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALKA ROSENZWEIG (OPERATIONS)
(518) 275-9654
Entity
Organization
Contact information
Practice address
3410 N HIGH SCHOOL RD STE G, INDIANAPOLIS, IN 46224-1100
(516) 427-9582
Mailing address
1308 DINSMORE AVE, FAR ROCKAWAY, NY 11691-4753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/09/2024
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