Healthcare Provider Details

I. General information

NPI: 1982939591
Provider Name (Legal Business Name): KARELIX ALICEA M.S., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 05/23/2023
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BRICKELL AVE STE 500
MIAMI FL
33131-2803
US

IV. Provider business mailing address

777 BRICKELL AVE STE 500
MIAMI FL
33131-2803
US

V. Phone/Fax

Practice location:
  • Phone: 305-330-4660
  • Fax: 786-217-1376
Mailing address:
  • Phone: 305-330-4660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-06-2809
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: