Provider Demographics
NPI:1376083428
Name:VINAS, KRISTINA A (BCBA)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:A
Last Name:VINAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:AMELIA
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2438
Mailing Address - Country:US
Mailing Address - Phone:786-436-0671
Mailing Address - Fax:
Practice Address - Street 1:40 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2438
Practice Address - Country:US
Practice Address - Phone:786-436-0671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst