Organization
BLUE SWAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANELYS CRUZ SILVA BCBA,MS (BEHAVIOR ANALYST)
(786) 338-0063
Entity
Organization
Contact information
Practice address
1071 SW 124TH CT, MIAMI, FL 33184-2458
(786) 338-0063
Mailing address
1071 SW 124TH CT, MIAMI, FL 33184-2458
(786) 338-0063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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