Healthcare Provider Details

I. General information

NPI: 1932752680
Provider Name (Legal Business Name): ANDREA ELENA SILECCHIA BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5931 NW 173RD DR UNIT 10
HIALEAH FL
33015-5107
US

IV. Provider business mailing address

10040 SHERIDAN ST APT 308
PEMBROKE PINES FL
33024-8542
US

V. Phone/Fax

Practice location:
  • Phone: 305-826-7884
  • Fax: 305-826-1545
Mailing address:
  • Phone: 305-336-1625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2829007
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: