Provider Demographics
NPI:1306452701
Name:ROSAS, NATALY (BCBA)
Entity type:Individual
Prefix:
First Name:NATALY
Middle Name:
Last Name:ROSAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11320 SW 172ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3936
Mailing Address - Country:US
Mailing Address - Phone:786-365-5417
Mailing Address - Fax:
Practice Address - Street 1:3401 NW 82ND AVE STE 105E
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1052
Practice Address - Country:US
Practice Address - Phone:786-614-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-25-85924103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst