Organization
BLUE LIGHT ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODISLAIDA QUINTANA ALVAREZ (OWNER)
(561) 633-8637
Entity
Organization
Contact information
Practice address
2904 S JOG RD OFC 11, GREENACRES, FL 33467-2002
(561) 633-8637
Mailing address
4084 LINDA LN, WEST PALM BEACH, FL 33406-8526
(561) 633-8637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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