Blue ABA NC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUE ABA NC LLC

Practice address

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Phone

(980) 233-8107

Fax

(512) 813-5917

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Gershon Fink, DO

Title

Ceo

Phone

(786) 521-1587

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1073361986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 ALTON RD UNIT 107",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403852",
            "telephone_number": "786-521-1587",
            "fax_number": "512-813-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST STE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020213",
            "telephone_number": "980-233-8107",
            "fax_number": "512-813-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ABA NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "GERSHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-521-1587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.