Blue Indigos Blooming ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE INDIGOS BLOOMING ABA THERAPY LLC

Practice address

2454 Winkler Ave Ste B
Fort Myers, FL 33901-9266

Phone

(786) 270-6805

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Caridad Dania PerezNPI 1528673993

Title

Owner

Phone

(786) 270-6805

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.

• Caridad Dania Perez

  • Behavior Technician
  • Miami, FL
  • NPI 1528673993
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1427778802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 WINKLER AVE STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019266",
            "telephone_number": "786-270-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 WINKLER AVE STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019266",
            "telephone_number": "786-270-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE INDIGOS BLOOMING ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_middle_name": "DANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-270-6805"
    },
    "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 Fort Myers, FL
• Providers in Fort Myers, 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 29, 2022; 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.