Provider Demographics
NPI:1962825570
Name:FELIPE, SYNTHIA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:SYNTHIA
Middle Name:
Last Name:FELIPE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:SYNTHIA
Other - Middle Name:
Other - Last Name:TIJERINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2281 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5205
Mailing Address - Country:US
Mailing Address - Phone:786-873-0935
Mailing Address - Fax:
Practice Address - Street 1:2281 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5205
Practice Address - Country:US
Practice Address - Phone:786-873-0935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-18-31038103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst