Bluewater Behavioral Services
Organization Active NPI Behavior Analyst · Niceville, FL
NPI 1801338447 · NPPES record last updated Nov 2, 2017
Key facts
- NPI
- 1801338447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-14-16721 (CO)
- Legal business name
- BLUEWATER BEHAVIORAL SERVICES
- Practice address
- 4451 Parkwood SQ
Niceville, FL 32578-9707 - Phone
- (850) 842-9750
- NPI assigned
- Nov 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Jose Velasquez
- Title
- Coowner, Business Manager
- Phone
- (850) 842-9750
Corporate family (same tax ID) 1
Practitioners 2
-
Alexandra Reed, RBT
National Provider Directory
- Tax ID family
- Bluewater Behavioral Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-14-16721 | CO | Yes |
Addresses
Primary practice location
4451 Parkwood SQ
Niceville, FL 32578-9707
Mailing address
4451 Parkwood SQ
Niceville, FL 32578-9707
Phone (850) 842-9750
Other providers in Niceville, FL
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- Bluewater Behavioral Health Inc
- Bluewater Behavioral Services
- Bluewater Cardiology LLC
- Bluewater Orthopedics PA
- Bluewater Orthopedics, P.a.
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- Bluewater Orthopedics, P.a.
All providers in Niceville, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.