| Blue Horizon Professional Group, Inc | |
|
3114 Lee Blvd # B Lehigh Acres FL 33971-2421 | |
| (239) 288-6046 | |
| (888) 388-5055 |
| Full Name | Blue Horizon Professional Group, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3114 Lee Blvd # B, Lehigh Acres, Florida |
| Authorized Official Name and Position | Rolando Davila (ADMINSITRATOR) |
| Authorized Official Contact | 7863373244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Horizon Professional Group, Inc 3114 Lee Blvd # B Lehigh Acres FL 33971-2421 Ph: (239) 288-6046 | Blue Horizon Professional Group, Inc 3114 Lee Blvd # B Lehigh Acres FL 33971-2421 Ph: (239) 288-6046 |
| NPI Number | 1932871571 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932871571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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