Organization
BLUE RIVER LEARNING CENTER, LLC
Active
Other names
Blue River Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY JAMES DONALD LBA (OWNER)
(540) 470-1405
Entity
Organization
Contact information
Practice address
3920 PLANK RD STE 210, FREDERICKSBURG, VA 22407-7104
(540) 470-1405
Mailing address
3920 PLANK RD STE 210, FREDERICKSBURG, VA 22407-7104
(540) 470-1405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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