Provider Demographics
NPI:1124230412
Name:REABOI, ANNA S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:S
Last Name:REABOI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 NW BOCA RATON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7457
Mailing Address - Country:US
Mailing Address - Phone:561-368-2525
Mailing Address - Fax:561-852-9834
Practice Address - Street 1:2290 NW BOCA RATON BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7457
Practice Address - Country:US
Practice Address - Phone:561-368-2525
Practice Address - Fax:561-852-9834
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health