Provider Demographics
NPI:1225771306
Name:BLUE JOURNEY INC
Entity Type:Organization
Organization Name:BLUE JOURNEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MARICE
Authorized Official - Middle Name:DELGADO
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA 1-20-43616
Authorized Official - Phone:786-740-3133
Mailing Address - Street 1:10150 SW 228TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1989
Mailing Address - Country:US
Mailing Address - Phone:786-740-3133
Mailing Address - Fax:
Practice Address - Street 1:10150 SW 228TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33190-1989
Practice Address - Country:US
Practice Address - Phone:786-740-3133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty