Provider Demographics
NPI:1841956851
Name:ARCIS RODRIGUEZ, MARCEL (BCBA)
Entity type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:ARCIS RODRIGUEZ
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9422 NW 120TH ST APT 223
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4192
Mailing Address - Country:US
Mailing Address - Phone:305-570-9445
Mailing Address - Fax:
Practice Address - Street 1:1490 W 49TH PL STE 401
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-8142
Practice Address - Country:US
Practice Address - Phone:786-294-0255
Practice Address - Fax:786-953-6517
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty