Icela Iglesias, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-75597 Issued in FL

Practice address

17612 SW 138TH Ave
Miami, FL 33177-6424

Phone

(305) 494-4992

NPI assigned

Jan 28, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon Behavioral Therapy Corp

  • Behavior Analyst
  • Doral, FL
  • NPI 1245072396
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1609467018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17612 SW 138TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776424",
            "telephone_number": "305-494-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17612 SW 138TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776424",
            "telephone_number": "305-494-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "ICELA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-20-11573",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-75597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102896700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayanna Iglesias
• Elba Amalia Iglesias, MD
• Eleida Iglesias
• Enmanuel Alejandro Iglesias
• Gabriella Iglesias
• Jessica Iglesias, APRN
• Jonathan Joaquin Iglesias, M.D.
• Jose Iglesias, LPN
• Karen Iglesias
• Karina Iglesias, PTA

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.