Provider Demographics
NPI:1770930489
Name:FLORES, OFELIA M (BCBA)
Entity type:Individual
Prefix:MS
First Name:OFELIA
Middle Name:M
Last Name:FLORES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:OFELIA MARGARITA
Other - Middle Name:ALVARADO
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2675 COURT DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-1478
Mailing Address - Country:US
Mailing Address - Phone:704-824-4999
Mailing Address - Fax:
Practice Address - Street 1:2675 COURT DR # B
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-1478
Practice Address - Country:US
Practice Address - Phone:704-824-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst