Active NPI
The Blue Center LLC
- Behavior Analyst
- Ashburn, VA
National Provider Identifier
1063989630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
National Provider Directory
National Provider DirectoryNPI 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.