Bright Blue Therapy Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIGHT BLUE THERAPY CORP

Practice address

111 SW 3Rd St Ste 608
Miami, FL 33130-1926

Phone

(786) 365-8864

Fax

(786) 365-8864

NPI assigned

Dec 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lazaro Francisco Junco Rodriguez

Title

Owner

Phone

(786) 365-8864

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1053188292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW 3RD ST STE 608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301926",
            "telephone_number": "786-365-8864",
            "fax_number": "786-365-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 3RD ST STE 608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301926",
            "telephone_number": "786-365-8864",
            "fax_number": "786-365-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BLUE THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "JUNCO RODRIGUEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-365-8864"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.