Provider Demographics
NPI:1609365071
Name:QUINTANA-GONZALEZ, ANA BEATRIZ (BCABA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:BEATRIZ
Last Name:QUINTANA-GONZALEZ
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21638 TOMBALL PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1891
Mailing Address - Country:US
Mailing Address - Phone:832-335-8827
Mailing Address - Fax:
Practice Address - Street 1:21638 TOMBALL PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1891
Practice Address - Country:US
Practice Address - Phone:832-335-8827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1655106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst