Organization Active NPI

Bamboo Behavioral Services LLC

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1346052354
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BAMBOO BEHAVIORAL SERVICES LLC
Practice address
21417 SW 109TH CT
Cutler Bay, FL 33189-2903
Phone
(786) 515-7794
NPI assigned
Jan 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Authorized official

Name
Adriana P Zuluaga Aguilar
Title
Owner
Phone
(786) 515-7794

Specialties & licenses 1

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

Addresses

Primary practice location

21417 SW 109TH CT
Cutler Bay, FL 33189-2903

Mailing address

21417 SW 109TH CT
Cutler Bay, FL 33189-2903
Phone (786) 515-7794

Other names 1

  • Bamboo Behavioral Services LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1346052354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21417 SW 109TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892903",
            "telephone_number": "786-515-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21417 SW 109TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892903",
            "telephone_number": "786-515-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "ZULUAGA  AGUILAR",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-515-7794"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bamboo Behavioral Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.