Healthcare Provider Details

I. General information

NPI: 1992623599
Provider Name (Legal Business Name): HORIZON BLUE ABA CT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 MCDONALD AVE FL 3
BROOKLYN NY
11230-3322
US

IV. Provider business mailing address

1233 MCDONALD AVE FL 3
BROOKLYN NY
11230-3322
US

V. Phone/Fax

Practice location:
  • Phone: 718-212-0222
  • Fax: 718-715-0330
Mailing address:
  • Phone: 718-212-0222
  • Fax: 718-715-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SOLOMON BAILEY
Title or Position: PRES
Credential:
Phone: 718-212-0222