Provider Demographics
NPI:1821664616
Name:PAZOS, NEILYS (BCBA)
Entity Type:Individual
Prefix:
First Name:NEILYS
Middle Name:
Last Name:PAZOS
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 1:12924 SW 119TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4556
Mailing Address - Country:US
Mailing Address - Phone:786-537-9457
Mailing Address - Fax:
Practice Address - Street 1:12924 SW 119TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4556
Practice Address - Country:US
Practice Address - Phone:786-537-9457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB567667103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst