Provider Demographics
NPI:1750825535
Name:ARIZA, LUIS DANYTH (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:DANYTH
Last Name:ARIZA
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 NW 108TH DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3635
Mailing Address - Country:US
Mailing Address - Phone:754-368-3318
Mailing Address - Fax:
Practice Address - Street 1:2420 NW 108TH DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3635
Practice Address - Country:US
Practice Address - Phone:754-368-3318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst