Provider Demographics
NPI:1316416969
Name:VARELA, EVELYN YOMARA (MS,, BCBA)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:YOMARA
Last Name:VARELA
Suffix:
Gender:F
Credentials:MS,, BCBA
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Other - Credentials:
Mailing Address - Street 1:4620 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5884
Mailing Address - Country:US
Mailing Address - Phone:561-323-6593
Mailing Address - Fax:561-997-1246
Practice Address - Street 1:1170 CELEBRATION BLVD STE 104
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-4604
Practice Address - Country:US
Practice Address - Phone:561-983-0975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1-20-40911103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNA