Blue Wings Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE WINGS THERAPY INC

Practice address

9520 SW 40TH St Ste 207
Miami, FL 33165-4074

Phone

(786) 615-5701

NPI assigned

Jan 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kervin Moya MoranNPI 1437906179

Title

President

Phone

(561) 635-9097

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kervin Moya Moran

  • Behavior Technician
  • Miami, FL
  • NPI 1437906179

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1235900150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 SW 40TH ST STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654074",
            "telephone_number": "786-615-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 SW 40TH ST STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654074",
            "telephone_number": "786-615-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WINGS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MOYA MORAN",
        "authorized_official_first_name": "KERVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-635-9097"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Support Therapy Corp
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• Blue Therapy Services LLC
• Blue Wings Behavioral Services Inc
• Blue Wings Health Services Inc.
• Blue World Therapy Center, Corp
• Lauren Blue
• Bluebridge Behavioral Services Inc
• Bluebright ABA Services LLC
• Bluecare Home Health Services Inc

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.