Organization Active NPI

Wingless Angels Behavioral Services, LLC.

  • Behavior Analyst
  • Coral Gables, FL
National Provider Identifier
1851005573
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WINGLESS ANGELS BEHAVIORAL SERVICES, LLC.
Practice address
717 Ponce de Leon Blvd Ste 323a
Coral Gables, FL 33134-2050
Phone
(786) 580-1165
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Freddy F Perez Figueroa
Title
Owner
Phone
(786) 580-1165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

717 Ponce de Leon Blvd Ste 323a
Coral Gables, FL 33134-2050

Mailing address

717 Ponce de Leon Blvd Ste 323a
Coral Gables, FL 33134-2050
Phone (786) 580-1165

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Miami

National Provider Directory

National Provider Directory

Locations

717 Ponce de Leon Blvd
Ste 323A
Coral Gables, FL 33134
Phone (786) 580-1165

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1851005573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 323A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342050",
            "telephone_number": "786-580-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 323A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342050",
            "telephone_number": "786-580-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGLESS ANGELS BEHAVIORAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ FIGUEROA",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-580-1165"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "717 Ponce De Leon Blvd Ste 323A",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331342050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.