Provider Demographics
NPI:1528754389
Name:BARCELLS, FRANK JAMES
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:JAMES
Last Name:BARCELLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1763 FOUR MILE COVE PKWY
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-2422
Mailing Address - Country:US
Mailing Address - Phone:831-239-2575
Mailing Address - Fax:
Practice Address - Street 1:1763 FOUR MILE COVE PKWY
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-2422
Practice Address - Country:US
Practice Address - Phone:831-239-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-267224106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician