Bluebird ABA LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUEBIRD ABA LLC

Practice address

8222 Westminster Rd
Elkins Park, PA 19027-1409

Phone

(215) 586-1865

NPI assigned

Sep 23, 2018

Last updated

Jan 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Deikman, MS, BCBA, LBSNPI 1114462348

Title

Managing Member

Phone

(215) 586-1865

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Deikman, MS, BCBA, LBS

  • Behavior Analyst
  • Elkins Park, PA
  • NPI 1114462348
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1154805315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 WESTMINSTER RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271409",
            "telephone_number": "215-586-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 WESTMINSTER RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271409",
            "telephone_number": "215-586-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-23",
        "last_updated": "2021-01-06",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "DEIKMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "215-586-1865",
        "authorized_official_credential": "MS, BCBA, LBS"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103615316-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Christian Services
• Michael D Birnbaum, M.D.
• Rebecca Joseph Blaha, AUD., CCC-A
• Tracy Elisa Blatt, D.O.
• Nissa Blocher, MD
• Ruth Bluethenthal-Appel, LCSW, CERTIFIED CFT
• Yale Robert Bobrin, D.O.
• Body and Soul Inc.
• Melissa Boehmer, M.S., CCC-SLP
• Linda Bojman, MS,RD,LDN

• Community/Behavioral Health Agency in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.