Organization
BLUE WINGS BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALIA SORDO SANCHEZ (OTR)
(786) 768-5184
Entity
Organization
Contact information
Practice address
5201 BLUE LAGOON DR FL 8, SUITE 846, MIAMI, FL 33126-7050
(786) 768-5184
Mailing address
27780 SW 135TH AVENUE RD, HOMESTEAD, FL 33032-2569
(786) 768-5184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
05/16/2024
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