Blue Diamond ABA Services LLC

Behavior Analyst · Mt. Clemens, MI

Organization Active NPI

NPI number 1699300228

Practice location

102 North Avenue
Mt. Clemens, MI 48043
Phone
(313) 237-3938

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NPI record

NPI
1699300228
Entity type
Organization (Type 2)
Enumeration date
March 4, 2020
Last updated
March 4, 2020
Certified
March 4, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Assistant Behavior Analyst 106E00000X — —
Behavior Technician 106S00000X — —

Authorized official

Name
Mrs. Omotola O. Oluwole, BCBCA
Title
CEO
Phone
(313) 247-3938

About Blue Diamond ABA Services LLC

Blue Diamond ABA Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 102 North Avenue, Mt. Clemens, MI 48043. The NPI number 1699300228 was assigned on March 4, 2020 and the record was last updated on March 4, 2020.

The authorized official for this organization is Mrs. Omotola O. Oluwole, BCBCA, CEO.

Frequently asked questions

What is the NPI number of Blue Diamond ABA Services LLC?

The NPI number is 1699300228.

What is the phone number of Blue Diamond ABA Services LLC?

The phone number listed for the practice location is (313) 237-3938.

Where is Blue Diamond ABA Services LLC located?

102 North Avenue, Mt. Clemens, MI 48043.

What is the taxonomy code for Blue Diamond ABA Services LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.