| Blue Wings Therapy Inc | |
|
9520 Sw 40th St Ste 207 Miami FL 33165-4074 | |
| (786) 615-5701 | |
| Not Available |
| Full Name | Blue Wings Therapy Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9520 Sw 40th St Ste 207, Miami, Florida |
| Authorized Official Name and Position | Kervin Moya Moran (PRESIDENT) |
| Authorized Official Contact | 5616359097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Wings Therapy Inc 9520 Sw 40th St Ste 207 Miami FL 33165-4074 Ph: (786) 615-5701 | Blue Wings Therapy Inc 9520 Sw 40th St Ste 207 Miami FL 33165-4074 Ph: (786) 615-5701 |
| NPI Number | 1235900150 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235900150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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