Organization Active NPI

Bluebird Therapy Center, LLC

  • Behavior Analyst
  • Hallandale Beach, FL
National Provider Identifier
1255035408
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLUEBIRD THERAPY CENTER, LLC
Practice address
200 Leslie Dr Apt 429
Hallandale Beach, FL 33009-7314
Phone
(954) 805-2559
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Diane Donis
Title
Owner
Phone
(954) 805-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

200 Leslie Dr Apt 429
Hallandale Beach, FL 33009-7314

Mailing address

200 Leslie Dr Apt 429
Hallandale Beach, FL 33009-7314

National Provider Directory

National Provider Directory
Tax ID family
Bluebird Therapy Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1255035408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LESLIE DR APT 429",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LESLIE DR APT 429",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097314",
            "telephone_number": "954-805-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "DONIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-805-2559"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.