Healthcare Provider Details

I. General information

NPI: 1447167333
Provider Name (Legal Business Name): BLUE LITTLE STARS BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 CARIBBEAN BLVD STE 310
CUTLER BAY FL
33189-1233
US

IV. Provider business mailing address

10700 CARIBBEAN BLVD STE 310
CUTLER BAY FL
33189-1233
US

V. Phone/Fax

Practice location:
  • Phone: 786-822-0239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ANA ESTRADA CRUZ
Title or Position: CEO
Credential:
Phone: 786-822-0239