Everbloom Pediatric Therapy Group

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EVERBLOOM PEDIATRIC THERAPY GROUP

Practice address

12985 SW 130TH CT
Suite 209, Unit D
Miami, FL 33186-5347

Phone

(305) 417-0040

Fax

(786) 228-4034

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Evelyn Ornelas, M.A., BCBA

Title

Board Certified Behavior Analyst

Phone

(786) 554-2253

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1447186820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT",
            "address_2": "SUITE 209, UNIT D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865347",
            "telephone_number": "305-417-0040",
            "fax_number": "786-228-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT",
            "address_2": "SUITE 209, UNIT D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865347",
            "telephone_number": "305-417-0040",
            "fax_number": "786-228-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERBLOOM PEDIATRIC THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "ORNELAS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "786-554-2253",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 31, 2026; 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.