Provider Demographics
NPI:1801485719
Name:BRITO LEON, ARACELIS (BCBA 1-20-46602)
Entity type:Individual
Prefix:MRS
First Name:ARACELIS
Middle Name:
Last Name:BRITO LEON
Suffix:
Gender:F
Credentials:BCBA 1-20-46602
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 W MANGO ST
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2728
Mailing Address - Country:US
Mailing Address - Phone:786-597-3796
Mailing Address - Fax:
Practice Address - Street 1:1601 BELVEDERE RD E-300
Practice Address - Street 2:SUITE 31
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-3340
Practice Address - Country:US
Practice Address - Phone:786-597-3796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty