Provider Demographics
NPI:1730955287
Name:FIDEL, CHERYL LEIGH (BCBA)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LEIGH
Last Name:FIDEL
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 1:3417 N CAMINO RIO COLORADO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6030
Mailing Address - Country:US
Mailing Address - Phone:520-906-9339
Mailing Address - Fax:
Practice Address - Street 1:9917 E BELL RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2397
Practice Address - Country:US
Practice Address - Phone:628-833-8424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician