Early Wings LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EARLY WINGS LLC

Practice address

408 Stewart Park LN
Deland, FL 32724-7729

Phone

(786) 620-7367

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Ariel Tapanes Dominguez, BCBANPI 1467805366

Title

Bcba / Owner

Phone

(786) 620-7367

Specialties & licenses 3

Addresses

Practitioners 1

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

• Ariel Tapanes Dominguez

  • Behavior Analyst
  • Orlando, FL
  • NPI 1467805366
  NPD Authorized official

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1245082650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 STEWART PARK LN",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 STEWART PARK LN",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247729",
            "telephone_number": "786-620-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY WINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "TAPANES DOMINGUEZ",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "BCBA / OWNER",
        "authorized_official_telephone_number": "786-620-7367",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.