| Blue Dreams Aba Llc | |
|
2711 Sw 137th Ave Ste 89 Miami FL 33175-6361 | |
| (786) 362-2284 | |
| Not Available |
| Full Name | Blue Dreams Aba Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 2711 Sw 137th Ave Ste 89, Miami, Florida |
| Authorized Official Name and Position | Maylen Fornes (OWNER) |
| Authorized Official Contact | 7863622284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Dreams Aba Llc 840 Sw 105th Ave Apt 300 Miami FL 33174 Ph: (786) 362-2284 | Blue Dreams Aba Llc 2711 Sw 137th Ave Ste 89 Miami FL 33175-6361 Ph: (786) 362-2284 |
| NPI Number | 1811765175 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811765175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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