Bluelife ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUELIFE ABA THERAPY LLC

Practice address

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258

Phone

(786) 351-1310

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Sayed Fuentes

Title

Cfo

Phone

(786) 351-1310

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1154105328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "786-351-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "786-351-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUELIFE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "SAYED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-351-1310"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Blake Blicker
• Blooming Minds Psychology
• Blossom Minds LLC
• Blue Heart Solutions LLC
• Blueapplecare, LLC.
• Bluelife for Kids ABA Services LLC
• Board Certified Behavior Analysts Group, Inc
• Melvin Lee Boatwright, CRT
• Elad Boaz, MD
• Ajanae Bogle

• Behavior Analyst in Weston, FL
• Providers in Weston, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.