| Blue Wings Behavioral Services Inc | |
|
5201 Blue Lagoon Dr Fl 8 Suite 846 Miami FL 33126-7050 | |
| (786) 768-5184 | |
| Not Available |
| Full Name | Blue Wings Behavioral Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5201 Blue Lagoon Dr Fl 8, Miami, Florida |
| Authorized Official Name and Position | Idalia Sordo Sanchez (OTR) |
| Authorized Official Contact | 7867685184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Wings Behavioral Services Inc 27780 Sw 135th Avenue Rd Homestead FL 33032-2569 Ph: (786) 768-5184 | Blue Wings Behavioral Services Inc 5201 Blue Lagoon Dr Fl 8 Suite 846 Miami FL 33126-7050 Ph: (786) 768-5184 |
| NPI Number | 1952019051 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952019051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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