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NPI Code Detail

MEDICARE: BLIMA BAUMWOLSPINER BCBA

MEDICARE: BLIMA BAUMWOLSPINER BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-1830213NJ

General Provider Information

NPI Number : 1013403898
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLIMA BAUMWOLSPINER BCBA
Provider Business Mailing Address
First Line : 1 ALLISON DR
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-2309
Country : US
Telephone Number : 856-827-7630
Fax Number :
Provider Business Practice Location Address
First Line : 1166 RIVER AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5677
Country : US
Telephone Number : 732-965-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2018
Last Update Date : 02/06/2024

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