Provider Demographics
NPI:1265006886
Name:ARVELO-DIAZ, YARYTZA (MA, BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:YARYTZA
Middle Name:
Last Name:ARVELO-DIAZ
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23222 KINGSLAND BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3033
Mailing Address - Country:US
Mailing Address - Phone:281-574-4226
Mailing Address - Fax:
Practice Address - Street 1:23222 KINGSLAND BLVD STE A
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3033
Practice Address - Country:US
Practice Address - Phone:281-574-4226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4092103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst