ABA Blue Dino LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA BLUE DINO LLC

Practice address

7700 N Kendall Dr Ste 300G
Miami, FL 33156-7559

Phone

(786) 234-7035

NPI assigned

Jul 10, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ileby Garcia de Villiers

Title

Owner

Phone

(786) 234-7035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1780421446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14321 SW 88TH ST # STMF112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861196",
            "telephone_number": "786-234-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR STE 300G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567559",
            "telephone_number": "786-234-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA BLUE DINO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA DE VILLIERS",
        "authorized_official_first_name": "ILEBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-234-7035"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_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 Jul 10, 2024; 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.