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General NPI Number Information
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NPI Number | 1922945161
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Entity Type | Organization
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Legal Business Name | BLUEBELL ABA THERAPY MARYLAND LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 400 E PRATT ST
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City | BALTIMORE
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State | MD
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Zip | 21202-3116
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Country | US
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Telephone | 704-610-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 18 COX CRO RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-0938
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Country | US
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Telephone | 704-610-7500
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AVI RICHMAN
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Credential |
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Telephone | 704-610-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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