| Bluewater Behavioral Services | |
|
4451 Parkwood Sq Niceville FL 32578-9707 | |
| (850) 842-9750 | |
| Not Available |
| Full Name | Bluewater Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4451 Parkwood Sq, Niceville, Florida |
| Authorized Official Name and Position | Jose Velasquez (COOWNER, BUSINESS MANAGER) |
| Authorized Official Contact | 8508429750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluewater Behavioral Services 4451 Parkwood Sq Niceville FL 32578-9707 Ph: (850) 842-9750 | Bluewater Behavioral Services 4451 Parkwood Sq Niceville FL 32578-9707 Ph: (850) 842-9750 |
| NPI Number | 1801338447 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801338447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-16721 (Colorado) | Primary |
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