Blue Horizon Professional Group, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE HORIZON PROFESSIONAL GROUP, INC

Practice address

3114 Lee Blvd # B
Lehigh Acres, FL 33971-2421

Phone

(239) 288-6046

Fax

(888) 388-5055

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Rolando Davila

Title

Adminsitrator

Phone

(786) 337-3244

Specialties & licenses 1

Addresses

Tax ID family

Blue Horizon Professional Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Blue Horizon Professional Group

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1588368864
  NPD tax ID
• Blue Horizon Professional Group, Inc

  • Assistant Behavior Analyst
  • Fort Myers, FL
  • NPI 1508323684
  NPD tax ID

Locations

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1932871571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 LEE BLVD # B",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339712421",
            "telephone_number": "239-288-6046",
            "fax_number": "888-388-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 LEE BLVD # B",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339712421",
            "telephone_number": "239-288-6046",
            "fax_number": "888-388-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZON PROFESSIONAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "786-337-3244"
    },
    "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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• Audrey F Blumenfeld, MPH.,RD
• Nery Lee Bodden Sabillon, BACHELORS
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• Taylor Bonacolta
• Eila Bonet

• Behavior Analyst in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.