Provider Demographics
NPI:1477001576
Name:CUBILLAN, ANA CECILIA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CECILIA
Last Name:CUBILLAN
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 1:155 LAKEVIEW DR APT 204
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2529
Mailing Address - Country:US
Mailing Address - Phone:954-328-9486
Mailing Address - Fax:
Practice Address - Street 1:2437 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9105
Practice Address - Country:US
Practice Address - Phone:352-509-5210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-17
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst