Provider Demographics
NPI:1558039909
Name:DARIAS, ARELYS (RBT)
Entity Type:Individual
Prefix:MRS
First Name:ARELYS
Middle Name:
Last Name:DARIAS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 NW 109TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7720
Mailing Address - Country:US
Mailing Address - Phone:786-440-3249
Mailing Address - Fax:
Practice Address - Street 1:570 NW 109TH AVE APT 1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-7720
Practice Address - Country:US
Practice Address - Phone:786-440-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-130081103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108590400Medicaid