Blue Star ABA Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE STAR ABA THERAPY, LLC

Practice address

12985 SW 130TH CT # 107-4
Miami, FL 33186-5312

Phone

(305) 979-6788

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Anabel Infante RocubertNPI 1912419003

Title

Ceo

Phone

(305) 979-6788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anabel Infante Rocubert

  • Behavior Analyst
  • Miami, FL
  • NPI 1912419003
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1295595320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT # 107-4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865312",
            "telephone_number": "305-979-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT # 107-4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865312",
            "telephone_number": "305-979-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "INFANTE ROCUBERT",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-979-6788"
    },
    "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 Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.