Provider Demographics
NPI:1396994836
Name:ADELINIS, JOHN DENNIS (MA, BCBA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DENNIS
Last Name:ADELINIS
Suffix:
Gender:M
Credentials:MA, BCBA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:10009 SW 44TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7134
Mailing Address - Country:US
Mailing Address - Phone:352-332-8588
Mailing Address - Fax:352-332-8589
Practice Address - Street 1:2035B SW 75TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3425
Practice Address - Country:US
Practice Address - Phone:352-332-8588
Practice Address - Fax:352-332-8589
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-05-2537103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst