Indigo Minds ABA LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

INDIGO MINDS ABA LLC

Practice address

4115 S Semoran Blvd Apt 16
Orlando, FL 32822-2427

Phone

(407) 515-0189

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Luisa M Paredes Jimenez

Title

MGRM

Phone

(407) 515-0189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1548043375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 S SEMORAN BLVD APT 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222427",
            "telephone_number": "407-515-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 S SEMORAN BLVD APT 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222427",
            "telephone_number": "407-515-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO MINDS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "PAREDES JIMENEZ",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "407-515-0189"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.