Active NPI
Ocean Blue Behavior Therapy Inc
- Behavior Analyst
- Lakeland, FL
National Provider Identifier
1114790227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- OCEAN BLUE BEHAVIOR THERAPY INC
- Practice address
- 1137 Bartow Rd Ste 207
Lakeland, FL 33801-5828 - Phone
- (786) 278-8655
- Fax
- (863) 583-8955
- NPI assigned
- Oct 31, 2023
- 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
- Mrs. Maria Eugenia Acosta Dominguez, BCBA, ITDS.
- Title
- Owner
- Phone
- (786) 278-8655
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
1137 Bartow Rd Ste 207
Lakeland, FL 33801-5828
Mailing address
4515 Ashford Dr
Winter Haven, FL 33880-1148
Phone (786) 278-8655
National Provider Directory
National Provider DirectoryLocations
1137 Bartow Rd
Ste 207
Lakeland, FL 33801
Phone (786) 278-8655
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Winter Haven, FL
- NPI 1558957977
-
- Behavior Technician
- Lakeland, FL
- NPI 1982405510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1114790227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 ASHFORD DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338801148",
"telephone_number": "786-278-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 BARTOW RD STE 207",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015828",
"telephone_number": "786-278-8655",
"fax_number": "863-583-8955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN BLUE BEHAVIOR THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-31",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "ACOSTA DOMINGUEZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "EUGENIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-278-8655",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCBA, ITDS."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Loyda Judy Ocasio
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest, P.a. (FL)
- Occupational Health Partners, Inc
- Ocean Cedar Clinic P a
- Leanet Oceguera
- Kimberly Ochs, MS-CCC-SLP
- Maria Solina Napiza Oconer, M.D.
- Stanise Octave
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.