Organization
BLUE WINGS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERVIN MOYA MORAN (PRESIDENT)
(561) 635-9097
Entity
Organization
Contact information
Practice address
9520 SW 40TH ST STE 207, MIAMI, FL 33165-4074
(786) 615-5701
Mailing address
9520 SW 40TH ST STE 207, MIAMI, FL 33165-4074
(786) 615-5701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
09/11/2024
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