Everbloom Family Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EVERBLOOM FAMILY SERVICES LLC

Practice address

8358 W Oakland Park Blvd Ste 202I
Sunrise, FL 33351-7341

Phone

(786) 448-9478

NPI assigned

Aug 6, 2026

Organization subpart

No

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

Authorized official

Name

Mignelys Diaz

Title

Owner

Phone

(786) 448-9478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1750205340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD STE 202I",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517341",
            "telephone_number": "786-448-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD STE 202I",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517341",
            "telephone_number": "786-448-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERBLOOM FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MIGNELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-448-9478"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.