NPIMap

Organization Active NPI

Blue Dreams ABA LLC

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1811765175
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
BLUE DREAMS ABA LLC
Practice address
2711 SW 137TH Ave Ste 89
Miami, FL 33175-6361
Phone
(786) 362-2284
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Maylen FornesNPI 1619738598
Title
Owner
Phone
(786) 362-2284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

2711 SW 137TH Ave Ste 89
Miami, FL 33175-6361

Mailing address

840 SW 105TH Ave
Apt 300
Miami, FL 33174
Phone (786) 362-2284

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1811765175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SW 105TH AVE",
            "address_2": "APT 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174",
            "telephone_number": "786-362-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE STE 89",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756361",
            "telephone_number": "786-362-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DREAMS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "FORNES",
        "authorized_official_first_name": "MAYLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-362-2284"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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