Organization
BLUE DIAMOND ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OMOTOLA O. OLUWOLE BCBCA (CEO)
(313) 247-3938
Entity
Organization
Contact information
Practice address
102 NORTH AVENUE, MT. CLEMENS, MI 48043
(313) 237-3938
Mailing address
102 NORTH AVENUE, MT. CLEMENS, MI 48043
(313) 237-3938
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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