Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Wave Behavioral Serivces

Organization Behavior Analyst · NPI 1295443224

Blue Wave Behavioral Serivces is a Behavior Analyst in Clearwater, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1482 Premier Village Way Fl Usa
Clearwater, FL 33764-2885
Phone: (727) 278-6765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1295443224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Wixon — Owner · (727) 278-6765
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address1482 Premier Village Way Fl Usa, Clearwater, FL 33764-2885

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