Organization Active NPI

The Blue Center LLC

  • Behavior Analyst
  • Ashburn, VA
National Provider Identifier
1063989630
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE BLUE CENTER LLC
Practice address
20037 Silver Creek Ter
Ashburn, VA 20147-2258
Phone
(541) 316-8018
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Suzanne Cruz
Title
Director
Phone
(541) 316-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

20037 Silver Creek Ter
Ashburn, VA 20147-2258

Mailing address

3236 Watermarke PL
Irvine, CA 92612-5616
Phone (541) 316-8018

Other practice location 1

44831 Milestone Sq
Ashburn, VA 20147-4221
Phone (434) 218-2474

Other names 1

  • The Blue Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1063989630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 WATERMARKE PL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926125616",
            "telephone_number": "541-316-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20037 SILVER CREEK TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472258",
            "telephone_number": "541-316-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44831 Milestone Sq",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201474221",
            "country_code": "US",
            "telephone_number": "434-218-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BLUE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-316-8018"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Blue Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Blue Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.