Organization
BLUE SUPPORT THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY NOYA ONTIVERO (OWNER)
(786) 280-9458
Entity
Organization
Contact information
Practice address
4538 SW 144TH CT, MIAMI, FL 33175-6831
(786) 280-9458
Mailing address
4538 SW 144TH CT, MIAMI, FL 33175-6831
(786) 280-9458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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