Provider Demographics
NPI:1255677258
Name:ARANA, JEANETTE A
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:A
Last Name:ARANA
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 1:1853 SW 9TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-5138
Mailing Address - Country:US
Mailing Address - Phone:323-395-9168
Mailing Address - Fax:
Practice Address - Street 1:1853 SW 9TH ST. #6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-5138
Practice Address - Country:US
Practice Address - Phone:323-395-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103K00000XOtherBEHAVIOR ANALYST