Provider Demographics
NPI:1003462805
Name:QUINTANAL, ANA ISABEL (RBT-18-66198)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ISABEL
Last Name:QUINTANAL
Suffix:
Gender:F
Credentials:RBT-18-66198
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8940 SW 5TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2333
Mailing Address - Country:US
Mailing Address - Phone:305-301-9334
Mailing Address - Fax:
Practice Address - Street 1:8940 SW 5TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2333
Practice Address - Country:US
Practice Address - Phone:305-301-9334
Practice Address - Fax:305-468-6154
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-66198106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician