Blue Angels Behavior Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE ANGELS BEHAVIOR THERAPY LLC

Practice address

6011 W 16TH Ave Ste B
Hialeah, FL 33012-6213

Phone

(786) 717-8011

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Danay Bencomo Reyes

Title

Owner

Phone

(786) 717-8011

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.

• Danay Bencomo, NO

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1356798961
  NPD

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1326823642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 W 16TH AVE STE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 W 16TH AVE STE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126213",
            "telephone_number": "786-717-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGELS BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "BENCOMO REYES",
        "authorized_official_first_name": "DANAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-717-8011"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Home Care Corp
• Blooming Health LLC (Blooming Health Medical Center)
• Blooming Potentials Corp
• Blossom ABA Services LLC
• Blossom Aid Community Services LLC
• Blue Clinical Center LLC
• Blue Dandelion Integrative Therapy, LLC
• Blue Health Care, Inc
• Blue Heaven Rehabilitation Inc
• Blue Heaven Rehabilitation Inc

• Behavior Analyst in Hialeah, FL
• Providers in Hialeah, 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 25, 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.