Provider Demographics
NPI:1720700040
Name:ABREU, DESIREE (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:DESIREE
Middle Name:
Last Name:ABREU
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 1:4935 S COLLINS ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-1191
Mailing Address - Country:US
Mailing Address - Phone:214-600-1251
Mailing Address - Fax:
Practice Address - Street 1:4935 S COLLINS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1191
Practice Address - Country:US
Practice Address - Phone:214-600-1251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst