Provider Demographics
NPI:1417725334
Name:GARCIA DE LA ROSA, ANA BEL (RBT)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:BEL
Last Name:GARCIA DE LA ROSA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20140 SW 132ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6147
Mailing Address - Country:US
Mailing Address - Phone:786-458-9649
Mailing Address - Fax:
Practice Address - Street 1:20140 SW 132ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-6147
Practice Address - Country:US
Practice Address - Phone:786-458-9649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-23-316404106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician