Provider Demographics
NPI:1154907160
Name:ABREU SINTES, MALENA (BCBA)
Entity type:Individual
Prefix:
First Name:MALENA
Middle Name:
Last Name:ABREU SINTES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3942 HILLINGDON RD
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-5727
Mailing Address - Country:US
Mailing Address - Phone:352-217-8308
Mailing Address - Fax:
Practice Address - Street 1:3942 HILLINGDON RD
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5727
Practice Address - Country:US
Practice Address - Phone:352-217-8308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-21-48354103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst