# BLUE WINGS BEHAVIORAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952019051
- **Authorized official:** IDALIA SORDO SANCHEZ (OTR)
- **Authorized official phone:** (786) 768-5184

## Contact information

- **Practice address:** 5201 BLUE LAGOON DR FL 8, SUITE 846, MIAMI, FL 33126-7050
- **Practice address phone:** (786) 768-5184
- **Mailing address:** 27780 SW 135TH AVENUE RD, HOMESTEAD, FL 33032-2569
- **Mailing address phone:** (786) 768-5184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2022
- **Last updated:** 05/16/2024