Active NPI
Blue Balloon LLC
- Behavior Analyst
- Kearny, NJ
National Provider Identifier
1033705355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BLUE BALLOON LLC
- Practice address
- 175 Belgrove Dr
Kearny, NJ 07032-1507 - Phone
- (201) 216-9500
- NPI assigned
- Dec 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dovid Sussman
- Title
- Member
- Phone
- (201) 216-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
175 Belgrove Dr
Kearny, NJ 07032-1507
Mailing address
175 Belgrove Dr
Kearny, NJ 07032-1507
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608508800000",
"number": "1033705355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 BELGROVE DR",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070321507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 BELGROVE DR",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070321507",
"telephone_number": "201-216-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE BALLOON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-16",
"status": "A",
"authorized_official_last_name": "SUSSMAN",
"authorized_official_first_name": "DOVID",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "201-216-9500"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.