Healthcare Provider Details
I. General information
NPI: 1538697768
Provider Name (Legal Business Name): FRANK A. AVILES BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/01/2017
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2898 NW 79TH AVE
DORAL FL
33122-1033
US
IV. Provider business mailing address
9747 SW 138TH AVE 8951 SW 142ND AVE APT 1-110
MIAMI FL
33186-6819
US
V. Phone/Fax
- Phone: 786-366-7309
- Fax:
- Phone: 786-366-7309
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-21-55088 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: