Organization Active NPI

Bluebonnet Behavioral Group Inc

  • Behavior Analyst
  • Round Rock, TX
National Provider Identifier
1487574190
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLUEBONNET BEHAVIORAL GROUP INC
Practice address
2851 Joe Dimaggio Blvd Ste 21
Round Rock, TX 78665-3933
Phone
(512) 900-6268
Fax
(512) 900-6269
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Marlyn Ortega
Title
Owner
Phone
(786) 535-0453

Specialties & licenses 1

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

Addresses

Primary practice location

2851 Joe Dimaggio Blvd Ste 21
Round Rock, TX 78665-3933

Mailing address

2851 Joe Dimaggio Blvd Ste 21
Round Rock, TX 78665-3933
Phone (512) 900-6268

National Provider Directory

National Provider Directory

Locations

2851 Joe Dimaggio Blvd
Ste 21
Round Rock, TX 78665

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1487574190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 JOE DIMAGGIO BLVD STE 21",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653933",
            "telephone_number": "512-900-6268",
            "fax_number": "512-900-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 JOE DIMAGGIO BLVD STE 21",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653933",
            "telephone_number": "512-900-6268",
            "fax_number": "512-900-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET BEHAVIORAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-535-0453"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.