Provider Demographics
NPI:1245761816
Name:FRIAS CABRERA, YICEL (BCBA-1-19-37414)
Entity Type:Individual
Prefix:
First Name:YICEL
Middle Name:
Last Name:FRIAS CABRERA
Suffix:
Gender:F
Credentials:BCBA-1-19-37414
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13469 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7178
Mailing Address - Country:US
Mailing Address - Phone:786-406-5858
Mailing Address - Fax:
Practice Address - Street 1:13469 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:786-406-5858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2022-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBCBA-1-19-37414103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst