Organization
BLUEASH BEHAVIOR SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA C JOHNSON BCBA (OWNER)
(404) 565-4662
Entity
Organization
Contact information
Practice address
921 HEARTHSTONE DR, STONE MOUNTAIN, GA 30083-2519
(404) 565-4662
Mailing address
921 HEARTHSTONE DR, STONE MOUNTAIN, GA 30083-2519
(404) 565-4662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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