Blue Angels Therapeds, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUE ANGELS THERAPEDS, LLC

Practice address

1400 Rivery Blvd Apt 4116
Georgetown, TX 78628-3041

Phone

(512) 800-3097

NPI assigned

Sep 27, 2020

Organization subpart

No

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

Authorized official

Name

Aurica Garza, BCBANPI 1942732847

Title

Owner

Phone

(512) 800-3097

Specialties & licenses 1

Addresses

Practitioners 1

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

• Aurica Garza

  • Behavior Analyst
  • Austin, TX
  • NPI 1942732847
  NPD Authorized official

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1952918682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 RIVERY BLVD APT 4116",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283041",
            "telephone_number": "512-800-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RIVERY BLVD APT 4116",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283041",
            "telephone_number": "512-800-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGELS THERAPEDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "AURICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-800-3097",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.