Provider Demographics
NPI:1225323249
Name:ONETTO, BLANCA ROSA (LMHC, BCBA)
Entity Type:Individual
Prefix:MS
First Name:BLANCA
Middle Name:ROSA
Last Name:ONETTO
Suffix:
Gender:F
Credentials:LMHC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 NW 5TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1611
Mailing Address - Country:US
Mailing Address - Phone:954-321-3595
Mailing Address - Fax:954-321-3593
Practice Address - Street 1:7420 NW 5TH ST STE 105
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1611
Practice Address - Country:US
Practice Address - Phone:954-321-3595
Practice Address - Fax:954-321-3593
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12165101YM0800X
FL1-11-8728103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health