ABA Brightwings LLC

Behavior Analyst · Jacksonville, FL

Organization Active NPI

NPI number 1245054303

Practice location

10163 Fortune Pkwy # G35
Jacksonville, FL 32256-3519
Phone
(305) 303-3236

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NPI record

NPI
1245054303
Entity type
Organization (Type 2)
Enumeration date
November 14, 2024
Last updated
November 14, 2024
Certified
November 14, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Victor H Mora, LSW
Title
Manager
Phone
(305) 303-3236

About ABA Brightwings LLC

ABA Brightwings LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 10163 Fortune Pkwy # G35, Jacksonville, FL 32256-3519. The NPI number 1245054303 was assigned on November 14, 2024 and the record was last updated on November 14, 2024.

The authorized official for this organization is Victor H Mora, LSW, Manager.

Frequently asked questions

What is the NPI number of ABA Brightwings LLC?

The NPI number is 1245054303.

What is the phone number of ABA Brightwings LLC?

The phone number listed for the practice location is (305) 303-3236.

Where is ABA Brightwings LLC located?

10163 Fortune Pkwy # G35, Jacksonville, FL 32256-3519.

What is the taxonomy code for ABA Brightwings LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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