Provider Demographics
NPI:1073236576
Name:ANTEPARA, LEONOR NATALIE
Entity Type:Individual
Prefix:
First Name:LEONOR
Middle Name:NATALIE
Last Name:ANTEPARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14170 SW 260TH ST APT 104
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6686
Mailing Address - Country:US
Mailing Address - Phone:305-281-2476
Mailing Address - Fax:
Practice Address - Street 1:14170 SW 260TH ST APT 104
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6686
Practice Address - Country:US
Practice Address - Phone:305-281-2476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst