Provider Demographics
NPI:1417347436
Name:BELLO, JANY (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:JANY
Middle Name:
Last Name:BELLO
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 1:3012 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6083
Mailing Address - Country:US
Mailing Address - Phone:305-407-7442
Mailing Address - Fax:
Practice Address - Street 1:15311 SW 306TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-4348
Practice Address - Country:US
Practice Address - Phone:305-803-2937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLI242432905550103K00000X
FL1-21-50923103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst