Organization
BLUE INDIGOS BLOOMING ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIDAD DANIA PEREZ (OWNER)
(786) 270-6805
Entity
Organization
Contact information
Practice address
2454 WINKLER AVE STE B, FORT MYERS, FL 33901-9266
(786) 270-6805
Mailing address
2454 WINKLER AVE STE B, FORT MYERS, FL 33901-9266
(786) 270-6805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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