Organization
BLUE WINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARON FROMOWITZ (CEO)
(917) 562-2091
Entity
Organization
Contact information
Practice address
9436 GRENVILLE AVE, LAS VEGAS, NV 89134-6206
(917) 562-2091
Mailing address
9436 GRENVILLE AVE, LAS VEGAS, NV 89134-6206
(917) 562-2091
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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