MEDICARE: HORIZON BLUE ABA VA LLC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1730032921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON BLUE ABA VA LLC

Provider Business Mailing Address
First Line	:	283 LENOX AVE
Second Line	:
City	:	LONG BRANCH
State	:	NJ
Zip	:	07740-5022
Country	:	US
Telephone Number	:	718-212-0222
Fax Number	:	718-715-0330

Provider Business Practice Location Address
First Line	:	425 W WASHINGTON ST
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-5320
Country	:	US
Telephone Number	:	718-212-0222
Fax Number	:	718-715-0330

Authorized Official
Title or Position	:	CEO
Name	:	SOLOMON BAILEY
Credential	:
Telephone Number	:	718-212-0222

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “HORIZON BLUE ABA VA LLC ” Practice Location

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