Individual provider · NPI-1

Leida C Alarcon, BCBA

Behavior Analyst · Greenacres, FL

NPI number1356897631

StatusActive

Last updated in NPPESFeb 23, 2022

Details

NPI: 1356897631
Entity type: Individual (NPI-1)
Name: Leida C Alarcon
Credential: BCBA
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 28, 2016
Certification date: Feb 23, 2022
Last updated: Feb 23, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103K00000X	Behavior Analyst	–	–	Yes
103K00000X	Behavior Analyst	1-17-26196	FL
247200000X	Technician, Other	15-01346	FL

Practice location

2221 White Pine Cir Apt D
Greenacres, FL 33415

Phone 561-667-2181

Mailing address

2221 White Pine Cir Apt D
Greenacres, FL 33415-5900

Phone 561-667-2181

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