Provider Demographics
NPI:1780181198
Name:ARENCIBIA, YOARYS
Entity Type:Individual
Prefix:
First Name:YOARYS
Middle Name:
Last Name:ARENCIBIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6761 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3617
Mailing Address - Country:US
Mailing Address - Phone:305-283-0442
Mailing Address - Fax:786-558-9667
Practice Address - Street 1:6761 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3617
Practice Address - Country:US
Practice Address - Phone:305-283-0442
Practice Address - Fax:786-558-9667
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
FL0-19-10442106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst