Organization Active NPI

Brilliant Blue Behavior Analysis LLC

Doing business as Brilliant Blue Behavior

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1083314652
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRILLIANT BLUE BEHAVIOR ANALYSIS LLC
Doing business as
Brilliant Blue Behavior
Practice address
11285 SW 211TH St Ste 203
Miami, FL 33189-2213
Phone
(786) 404-3114
NPI assigned
Mar 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Viviana FernandezNPI 1750851903
Title
Owner
Phone
(786) 509-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

11285 SW 211TH St Ste 203
Miami, FL 33189-2213

Mailing address

13100 SW 262ND LN
Homestead, FL 33032-8924
Phone (786) 404-3114

Other names 1

  • Brilliant Blue Behavior Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1083314652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 SW 262ND LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328924",
            "telephone_number": "786-404-3114",
            "fax_number": "786-404-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892213",
            "telephone_number": "786-404-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT BLUE BEHAVIOR ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "VIVIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-509-3700"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliant Blue Behavior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.