Provider Demographics
NPI:1235751256
Name:ARANEGA VENEREO, ANAIS (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANAIS
Middle Name:
Last Name:ARANEGA VENEREO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 LENNA AVE
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-5828
Mailing Address - Country:US
Mailing Address - Phone:813-531-2856
Mailing Address - Fax:
Practice Address - Street 1:3707 W HAMILTON AVE STE 3
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4067
Practice Address - Country:US
Practice Address - Phone:813-930-0197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL35532355S0801X
FL20047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant