Provider Demographics
NPI:1467865014
Name:CECHELLA, CIBELE A (MS)
Entity Type:Individual
Prefix:
First Name:CIBELE
Middle Name:A
Last Name:CECHELLA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CIBELE
Other - Middle Name:C
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:15675 ORANGE HARVEST LOOP
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3199
Mailing Address - Country:US
Mailing Address - Phone:407-505-9071
Mailing Address - Fax:
Practice Address - Street 1:15675 ORANGE HARVEST LOOP
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3199
Practice Address - Country:US
Practice Address - Phone:407-505-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-14-16141103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst