Provider Demographics
NPI:1437475662
Name:OCHOA, ADRIANA
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:
Last Name:OCHOA
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 1:815 FALLING WATER RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3556
Mailing Address - Country:US
Mailing Address - Phone:754-245-3535
Mailing Address - Fax:
Practice Address - Street 1:2625 WESTON RD
Practice Address - Street 2:EIGLARSH EXECUTIVE OFFICES
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3614
Practice Address - Country:US
Practice Address - Phone:754-234-2146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50644101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)