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

Last updated

Mar 18, 2026By the provider in NPPES

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, DONPI 1518114644

Title

Ceo

Phone

(786) 521-1587

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gershon Fink, D.O.

  • Pediatric Anesthesiology Physician
  • Delray Beach, FL
  • NPI 1518114644
  Authorized official Same address or phone

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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• Emily Jane Bludov, CRNA
• Blue Nile Transportation LLC
• Blue Ridge Behavior Systems Inc
• Blue Sage Counseling and Wellness, PLLC
• Blue Waves Therapy LLC
• Edna Renee Blue, MSW, LCSWA

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• 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.