NPIMap

Organization Active NPI

Blue Wings Health Services Inc.

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1679281034
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLUE WINGS HEALTH SERVICES INC.
Practice address
9120 SW 150TH Ave
Miami, FL 33196-1496
Phone
(305) 497-3430
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Miler Masson BoucourtNPI 1932610763
Title
Bcba
Phone
(305) 497-3430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9120 SW 150TH Ave
Miami, FL 33196-1496

Mailing address

9120 SW 150TH Ave
Miami, FL 33196-1496
Phone (305) 497-3430

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1679281034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 SW 150TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961496",
            "telephone_number": "305-497-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 SW 150TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961496",
            "telephone_number": "305-497-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WINGS HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "MASSON BOUCOURT",
        "authorized_official_first_name": "MILER",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "305-497-3430"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.