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Contact Information

BLUE HORIZON PROFESSIONAL GROUP, INC
1591 HAYLEY LN STE 101
FORT MYERS, FL33907-2121
 Phone: 239-288-6046
 Fax: 888-388-5055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assistant Behavior Analyst

106E00000X
Indicates primary specialty

NPI Profile & details for BLUE HORIZON PROFESSIONAL GROUP, INC

NPI # 1508323684
LBN Legal business name BLUE HORIZON PROFESSIONAL GROUP, INC
Authorized official ROLANDO DAVILA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2019
Last updated 11/18/2020 - About 6 years ago
Identifiers
FL Medicaid 1568930915
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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