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BLUE HORIZON PROFESSIONAL GROUP INC NPI 1508323684


NPI Information

NPI: 1508323684
Provider Name: BLUE HORIZON PROFESSIONAL GROUP, INC
Classification: Assistant Behavior Analyst - 106E00000X
Entity Type: Organization
Address:
1591 HAYLEY LN STE 101
FORT MYERS, FL
ZIP 33907
Phone: (239) 288-6046
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BLUE HORIZON PROFESSIONAL GROUP, INC is an assistant behavior analyst in Fort Myers, FL. The provider is an assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. BLUE HORIZON PROFESSIONAL GROUP, INC NPI is 1508323684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1591 HAYLEY LN STE 101
FORT MYERS, FL
ZIP 33907-121
Phone: (239) 288-6046
Fax: (888) 388-5055

The provider's authorized official is Rolando Davila .
The authorized official title is Ceo and has the following contact phone number (239) 288-6046.

The enumeration date for this NPI number is 2/26/2019 and was last updated on 11/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106E00000XAssistant Behavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11568930915MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.