Organization · NPI-2
Bluebell Aba Therapy Services North Carolina LLC
Community/Behavioral Health · Charlotte, NC
NPI number1336980895
StatusActive
Last updated in NPPESJul 29, 2025
Details
- NPI
- 1336980895
- Entity type
- Organization (NPI-2)
- Legal business name
- Bluebell Aba Therapy Services North Carolina LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2024
- Certification date
- Jul 29, 2025
- Last updated
- Jul 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 103T00000X | Psychologist | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
128 S Tryon St Ste 1800Charlotte, NC 28202-5013
Phone 216-630-6359
Mailing address
128 S Tryon St Ste 1800Charlotte, NC 28202-5013
Phone 216-630-6359
Authorized official
Avrohom Richman
Administrator
2166306359
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