Provider Demographics
NPI:1306735030
Name:TATO, ANNABEL MERCEDES
Entity type:Individual
Prefix:
First Name:ANNABEL
Middle Name:MERCEDES
Last Name:TATO
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 1:8826 NW 139TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7349
Mailing Address - Country:US
Mailing Address - Phone:786-447-2565
Mailing Address - Fax:
Practice Address - Street 1:8826 NW 139TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-7349
Practice Address - Country:US
Practice Address - Phone:786-447-2565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-445004106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician