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BLUE BALLOON INDIAN CREEK LLC
NPI 1073365243
Behavior Analyst in Beltsville, MD

Active since April 02, 2024
12240 INDIAN CREEK CT STE 100, BELTSVILLE, MD 20705(201) 216-9500 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Balloon Indian Creek Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE BALLOON INDIAN CREEK LLC (NPI 1073365243) is a healthcare organization registered as a behavior analyst in Beltsville, Maryland and active in the NPI registry since April 2024. The organization lists Mariam Newmark, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1073365243
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBLUE BALLOON INDIAN CREEK LLC
Location Address12240 INDIAN CREEK CT STE 100Beltsville, MD 20705-1242
Mailing Address175 Belgrove DrKearny, NJ 07032-1507 · (201) 216-9500
Phone(201) 216-9500
Organization SubpartNo
Authorized OfficialMariam NewmarkClinical Director · (201) 216-9500
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1073365243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedPsychologistTaxonomy 103T00000X
12240 INDIAN CREEK CT STE 100, Beltsville, MD 20705
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. COLLEEN JOHNSON BCBA
Behavior Analyst
12240 INDIAN CREEK CT STE 100
BELTSVILLE, MD 20705
Prince George's County (201) 979-1336
BLUE BLOCKS LLC
Behavior Analyst
12240 INDIAN CREEK CT STE 100
BELTSVILLE, MD 20705
Prince George's County (201) 216-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Balloon Indian Creek LLC's NPI number?

The NPI number for Blue Balloon Indian Creek LLC is 1073365243. It was assigned to this organization in the NPPES registry on April 2, 2024.

Where is Blue Balloon Indian Creek LLC located?

Blue Balloon Indian Creek LLC is located at 12240 Indian Creek Ct Ste 100, Beltsville, MD 20705. The listed phone number is (201) 216-9500.

What is Blue Balloon Indian Creek LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Blue Balloon Indian Creek LLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.