ABA Brightwings LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA BRIGHTWINGS LLC

Practice address

10163 Fortune Pkwy # G35
Jacksonville, FL 32256-3519

Phone

(305) 303-3236

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor H Mora, LSWNPI 1528190642

Title

Manager

Phone

(305) 303-3236

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, and the practitioner matching its NPPES authorized official.

• Victor Hugo Mora, LCSW

  • Mental Health Counselor
  • Hialeah, FL
  • NPI 1528190642
  Authorized official Same address or phone

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1245054303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10163 FORTUNE PKWY # G35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563519",
            "telephone_number": "305-303-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10163 FORTUNE PKWY # G35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563519",
            "telephone_number": "305-303-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA BRIGHTWINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-303-3236",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron J West MD PA
• Joetta Aaron
• Nathaniel Aaron
• Tracie Ladell Aaron
• Patrick Aaronson, PHARMD
• Abiedu Charles Abaaba, M.D.
• Vera Utagah Abaaba, M.D.
• Abednerys Abad Heredia
• Rosemarie P Abad, MD
• Chloe Abadi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.