Blue Bear ABA Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE BEAR ABA SERVICES LLC

Practice address

13012 Odyssey Lake Way
Orlando, FL 32826

Phone

(321) 472-1859

NPI assigned

Jun 2, 2025

Last updated

Jul 25, 2025By 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

Samantha Duarte RodriguezNPI 1982468435

Title

Owner

Phone

(321) 472-1859

Specialties & licenses 1

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.

• Samantha Duarte Rodriguez

  • Behavior Technician
  • Orlando, FL
  • NPI 1982468435
  NPD Authorized official

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1073406625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178333",
            "telephone_number": "321-472-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13012 ODYSSEY LAKE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32826",
            "telephone_number": "321-472-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BEAR ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "DUARTE RODRIGUEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-472-1859"
    },
    "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 Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.