| Blue Angels Behavior Therapy Llc | |
|
6011 W 16th Ave Ste B Hialeah FL 33012-6213 | |
| (786) 717-8011 | |
| Not Available |
| Full Name | Blue Angels Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6011 W 16th Ave Ste B, Hialeah, Florida |
| Authorized Official Name and Position | Danay Bencomo Reyes (OWNER) |
| Authorized Official Contact | 7867178011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Angels Behavior Therapy Llc 6011 W 16th Ave Ste B Hialeah FL 33012-6213 Ph: () - | Blue Angels Behavior Therapy Llc 6011 W 16th Ave Ste B Hialeah FL 33012-6213 Ph: (786) 717-8011 |
| NPI Number | 1326823642 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326823642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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