ABA Brightwings,LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA BRIGHTWINGS,LLC

Practice address

501 E Dania Beach Blvd Apt 1L
Dania Beach, FL 33004-3010

Phone

(786) 306-1189

NPI assigned

Jul 13, 2023

Last updated

Jul 19, 2023By 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

Eric Otero

Title

Owner

Phone

(786) 306-1189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1346929767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NE 12TH AVE LOT 16",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306228",
            "telephone_number": "786-306-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E DANIA BEACH BLVD APT 1L",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330043010",
            "telephone_number": "786-306-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA BRIGHTWINGS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-306-1189"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Dania Beach, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.