Provider Demographics
NPI:1144965146
Name:LOUIS, ARLINA (BCBA)
Entity type:Individual
Prefix:
First Name:ARLINA
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 HIBISCUS AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-7716
Mailing Address - Country:US
Mailing Address - Phone:239-848-2775
Mailing Address - Fax:
Practice Address - Street 1:12995 S CLEVELAND AVE STE 60
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3859
Practice Address - Country:US
Practice Address - Phone:239-848-2775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst