Provider Demographics
NPI:1396104360
Name:READY, CLEO (BCBA)
Entity type:Individual
Prefix:
First Name:CLEO
Middle Name:
Last Name:READY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:CLEO
Other - Middle Name:
Other - Last Name:CERVEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:641 ROSEGATE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-4427
Mailing Address - Country:US
Mailing Address - Phone:407-408-3168
Mailing Address - Fax:
Practice Address - Street 1:641 ROSEGATE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-4427
Practice Address - Country:US
Practice Address - Phone:407-408-3168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-15-19705103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019713500Medicaid