Organization
BLUE WINGS HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILER MASSON BOUCOURT (BCBA)
(305) 497-3430
Entity
Organization
Contact information
Practice address
9120 SW 150TH AVE, MIAMI, FL 33196-1496
(305) 497-3430
Mailing address
9120 SW 150TH AVE, MIAMI, FL 33196-1496
(305) 497-3430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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