Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ocean Blue Behavior Therapy Inc

Organization Behavior Analyst · NPI 1114790227

Ocean Blue Behavior Therapy Inc is a Behavior Analyst in Lakeland, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1137 Bartow Rd Ste 207
Lakeland, FL 33801-5828
Phone: (786) 278-8655
Fax: (863) 583-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1114790227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Acosta Dominguez — Owner · (786) 278-8655
NPI enumeratedOctober 31, 2023
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address4515 Ashford Dr, Winter Haven, FL 33880-1148

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