Organization
BLUE ANGELS BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANAY BENCOMO REYES (OWNER)
(786) 717-8011
Entity
Organization
Contact information
Practice address
6011 W 16TH AVE STE B, HIALEAH, FL 33012-6213
(786) 717-8011
Mailing address
6011 W 16TH AVE STE B, HIALEAH, FL 33012-6213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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