Blue Swan LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE SWAN LLC

Practice address

1071 SW 124TH CT
Miami, FL 33184-2458

Phone

(786) 338-0063

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Dianelys Cruz Silva, BCBA,MSNPI 1285287623

Title

Behavior Analyst

Phone

(786) 338-0063

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dianelys Cruz Silva

  • Behavior Analyst
  • Miami, FL
  • NPI 1285287623
  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1720736242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842458",
            "telephone_number": "786-338-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842458",
            "telephone_number": "786-338-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SWAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ SILVA",
        "authorized_official_first_name": "DIANELYS",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "786-338-0063",
        "authorized_official_credential": "BCBA,MS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Star ABA Therapy, LLC
• Blue Star Pharmacy Inc
• Blue Star Therapy
• Blue Stone 4 Pharmacy LLC
• Blue Support Therapy Corp
• Blue Therapy Services LLC
• Blue Wings Behavioral Services Inc
• Blue Wings Health Services Inc.
• Blue Wings Therapy Inc
• Blue World Therapy Center, Corp

• 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 Mar 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.