Blue Balloon Indian Creek Llc

LBN: Blue Balloon Indian Creek Llc
Blue Balloon Indian Creek Llc is an health care organization with primary practice located at 12240 Indian Creek Ct Ste 100 , Beltsville MD 20705-1242. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Blue Balloon Indian Creek Llc can be contacted via phone (201) 216-9500, or through Newmark, Mariam via phone (201) 216-9500.

Contact Information

Primary practice address
12240 Indian Creek Ct Ste 100 Beltsville MD 20705-1242
Phone: (201) 216-9500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Newmark, Mariam M.ED, BCBA, LBA
Phone: (201) 216-9500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1073365243
LBN Legal business name Blue Balloon Indian Creek Llc
DBA Doing business as
Authorized official Newmark, Mariam M.ED, BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2024
Last updated Apr 2nd, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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